https://scholars.lib.ntu.edu.tw/handle/123456789/561882
標題: | Role of computed tomographic scanning prior to thoracoscopic surgery for primary spontaneous pneumothorax | 作者: | Tsou, Kuan-Chuan PEI-MING HUANG HSAO-HSUN HSU KE-CHENG CHEN SHUENN-WEN KUO JANG-MING LEE YEUN-CHUNG CHANG JIN-SHING CHEN HONG-SHIEE LAI |
公開日期: | 2014 | 出版社: | Elsevier | 卷: | 113 | 期: | 9 | 起(迄)頁: | 606-611 | 來源出版物: | Journal of the Formosan Medical Association | 摘要: | 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. |
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 https://scholars.lib.ntu.edu.tw/handle/123456789/561882 |
ISSN: | 0929-6646 | DOI: | 10.1016/j.jfma.2014.02.011 | SDG/關鍵字: | 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 |
顯示於: | 醫學系 |
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