Korean J Thorac Cardiovasc Surg. 2016 Apr;49(2):85-91. doi: 10.5090/kjtcs.2016.49.2.85. Epub 2016 Apr 05.

Staple Line Coverage with a Polyglycolic Acid Patch and Fibrin Glue without Pleural Abrasion after Thoracoscopic Bullectomy for Primary Spontaneous Pneumothorax.

The Korean journal of thoracic and cardiovascular surgery

Ki Pyo Hong, Do Kyun Kim, Kyung Hoon Kang

PMID: 27066431 PMCID: PMC4825908 DOI: 10.5090/kjtcs.2016.49.2.85

Abstract

BACKGROUND: This study was conducted to determine the efficacy of staple line coverage using a polyglycolic acid patch and fibrin glue without pleural abrasion to prevent recurrent postoperative pneumothorax.

METHODS: A retrospective analysis was carried out of 116 operations performed between January 2011 and April 2013. During this period, staple lines were covered with a polyglycolic acid patch and fibrin glue in 58 cases (group A), while 58 cases underwent thoracoscopic bullectomy only (group B).

RESULTS: The median follow-up period was 33 months (range, 22 to 55 months). The duration of chest tube drainage was shorter in group A (group A 2.7±1.2 day vs. group B 3.9±2.3 day, p=0.001). Prolonged postoperative air leakage occurred more frequently in group B than in group A (43% vs. 19%, p=0.005). The postoperative recurrence rate of pneumothorax was significantly lower in group A (8.6%) than in group B (24.1%) (p=0.043). The total cost of treatment during the follow-up period, including the cost for the treatment of postoperative recurrent pneumothorax, was not significantly different between the two groups (p=0.43).

CONCLUSION: Without pleural abrasion, staple line coverage with a medium-sized polyglycolic acid patch and fibrin glue after thoracoscopic bullectomy for primary spontaneous pneumothorax is a useful technique that can reduce the duration of postoperative pleural drainage and the postoperative recurrence rate of pneumothorax.

Keywords: Fibrin tissue adhesive; Pneumothorax; Polyglycolic acid; Thoracoscpy

References

1. J Nippon Med Sch. 2012;79(2):139-42 - PubMed
2. Interact Cardiovasc Thorac Surg. 2012 Jul;15(1):81-5 - PubMed
3. Thorax. 2003 May;58 Suppl 2:ii39-52 - PubMed
4. Eur Respir J. 2008 Apr;31(4):837-41 - PubMed
5. J Cardiothorac Surg. 2012 Mar 06;7:18 - PubMed
6. N Engl J Med. 2000 Mar 23;342(12):868-74 - PubMed
7. Ann Surg. 2012 Mar;255(3):440-5 - PubMed
8. Surg Endosc. 1998 Sep;12(9):1155-8 - PubMed
9. Surg Laparosc Endosc Percutan Tech. 2012 Feb;22(1):62-4 - PubMed
10. Interact Cardiovasc Thorac Surg. 2011 Feb;12 (2):103-5 - PubMed
11. Korean J Thorac Cardiovasc Surg. 2012 Oct;45(5):316-9 - PubMed
12. Ann Thorac Surg. 1996 May;61(5):1510-2 - PubMed
13. Surg Endosc. 2004 Mar;18(3):478-81 - PubMed
14. Ann Thorac Surg. 2013 Jun;95(6):1919-23 - PubMed
15. Surg Endosc. 2009 Nov;23 (11):2515-21 - PubMed
16. Surg Today. 2007;37(9):745-9 - PubMed
17. Ann Thorac Surg. 2000 Jul;70(1):253-7 - PubMed
18. Acta Chir Hung. 1999;38(1):15-7 - PubMed
19. Chest. 2005 Jun;127(6):2226-30 - PubMed
20. Surg Endosc. 2006 May;20(5):757-62 - PubMed
21. Surg Endosc. 2004 Mar;18(3):466-71 - PubMed
22. Hernia. 2008 Oct;12(5):483-91 - PubMed
23. Chest. 1997 Feb;111(2):442-8 - PubMed
24. J Nippon Med Sch. 2008 Apr;75(2):91-5 - PubMed
25. Am Surg. 2000 Jan;66(1):41-5 - PubMed

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