https://scholars.lib.ntu.edu.tw/handle/123456789/561882
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.author | Tsou, Kuan-Chuan | en_US |
dc.contributor.author | PEI-MING HUANG | en_US |
dc.contributor.author | HSAO-HSUN HSU | en_US |
dc.contributor.author | KE-CHENG CHEN | en_US |
dc.contributor.author | SHUENN-WEN KUO | en_US |
dc.contributor.author | JANG-MING LEE | en_US |
dc.contributor.author | YEUN-CHUNG CHANG | en_US |
dc.contributor.author | JIN-SHING CHEN | en_US |
dc.contributor.author | HONG-SHIEE LAI | en_US |
dc.date.accessioned | 2021-05-24T03:41:53Z | - |
dc.date.available | 2021-05-24T03:41:53Z | - |
dc.date.issued | 2014 | - |
dc.identifier.issn | 0929-6646 | - |
dc.identifier.uri | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84905583690&doi=10.1016%2fj.jfma.2014.02.011&partnerID=40&md5=646a9c8ec3c34876e59dc105e12ddb5b | - |
dc.identifier.uri | https://scholars.lib.ntu.edu.tw/handle/123456789/561882 | - |
dc.description.abstract | Background/Purpose: The role computed tomography (CT) performed prior to thoracoscopic surgery for primary spontaneous pneumothorax (PSP) remains unclear. Methods: We retrospectively reviewed medical records of all patients who underwent thoracoscopic surgery for PSP during 2008-2012. Patients were stratified into two groups: CT group (patients who received preoperative CT scanning) and control group (patients who did not receive preoperative scanning). Short-term postoperative results and long-term pneumothorax recurrence rates were compared. Results: A total of 298 patients were studied. Preoperative CT scanning was performed in 140 of them. The duration of operation, incidence of bullae formation, number of excised specimens, rate of complications, and postoperative hospital stay were similar between the two groups. After a mean follow-up of 20 months, the recurrence rates were 8.6% (12/140) in the CT group and 5.7% (9/158) in the control group (p = 0.371). In the CT group, five patients had unexpected pulmonary findings and three of them (60%) developed pneumothorax recurrence, the rate of which was significantly higher than that in patients without unexpected pulmonary findings (9/135, 6.7%, p = 0.004). Unexpected pulmonary lesions were more commonly noted in females (4/19, 21.1%) than in males (1/121, 0.8%; p < 0.001). Conclusion: Preoperative CT scanning was not associated with better results after thoracoscopic surgery for PSP and is, therefore, not justified as a routine examination prior to the operation. In female patients, however, preoperative CT scanning might be needed because these patients tended to have a higher incidence of unexpected pulmonary lesions, which were associated with a higher rate of recurrence. ? 2014. | en_US |
dc.language.iso | en | en_US |
dc.publisher | Elsevier | en_US |
dc.relation.ispartof | Journal of the Formosan Medical Association | en_US |
dc.subject.classification | [SDGs]SDG3 | - |
dc.subject.other | adult; article; computed tomography scanner; computer assisted tomography; controlled study; excision; female; follow up; health care; hematothorax; hospitalization; human; lung lesion; major clinical study; male; medical record review; pleurodesis; postoperative complication; postoperative period; preoperative period; primary spontaneous pneumothorax; recurrence risk; recurrent disease; retrospective study; spontaneous pneumothorax; surgical infection; thorax radiography; video assisted thoracoscopic surgery; pneumothorax; preoperative care; procedures; radiography; reproducibility; video assisted thoracoscopic surgery; young adult; Female; Humans; Male; Pneumothorax; Preoperative Care; Reproducibility of Results; Retrospective Studies; Thoracic Surgery, Video-Assisted; Tomography, X-Ray Computed; Young Adult | - |
dc.title | Role of computed tomographic scanning prior to thoracoscopic surgery for primary spontaneous pneumothorax | en_US |
dc.type | journal article | en |
dc.identifier.doi | 10.1016/j.jfma.2014.02.011 | - |
dc.identifier.pmid | 24709294 | - |
dc.identifier.scopus | 2-s2.0-84905583690 | - |
dc.relation.pages | 606-611 | en_US |
dc.relation.journalvolume | 113 | en_US |
dc.relation.journalissue | 9 | en_US |
item.fulltext | no fulltext | - |
item.languageiso639-1 | en | - |
item.cerifentitytype | Publications | - |
item.openairecristype | http://purl.org/coar/resource_type/c_6501 | - |
item.grantfulltext | none | - |
item.openairetype | journal article | - |
crisitem.author.dept | Surgery-NTUH | - |
crisitem.author.dept | Surgery | - |
crisitem.author.dept | Surgery-NTUH | - |
crisitem.author.dept | Surgery | - |
crisitem.author.dept | National Taiwan University Cancer Center (NTUCC) | - |
crisitem.author.dept | Surgery | - |
crisitem.author.dept | Surgery-NTUH | - |
crisitem.author.dept | Surgery-NTUH | - |
crisitem.author.dept | Surgery | - |
crisitem.author.dept | Surgery-NTUH | - |
crisitem.author.dept | Surgery | - |
crisitem.author.dept | Radiology | - |
crisitem.author.dept | Medical Imaging-NTUH | - |
crisitem.author.dept | Surgery-NTUH | - |
crisitem.author.dept | Surgery | - |
crisitem.author.dept | Surgery | - |
crisitem.author.dept | Surgery-NTUH | - |
crisitem.author.orcid | 0000-0001-5493-7673 | - |
crisitem.author.orcid | 0000-0002-0376-1206 | - |
crisitem.author.orcid | 0000-0001-6330-0674 | - |
crisitem.author.orcid | 0000-0001-5026-5582 | - |
crisitem.author.orcid | 0000-0001-9727-227X | - |
crisitem.author.orcid | 0000-0001-9984-5713 | - |
crisitem.author.orcid | 0000-0001-5077-4483 | - |
crisitem.author.orcid | 0000-0002-7958-2183 | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
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