File Download

There are no files associated with this item.

  Links for fulltext
     (May Require Subscription)
Supplementary

Article: Thoracoscopic bullectomy for primary spontaneous pneumothorax in pediatric patients

TitleThoracoscopic bullectomy for primary spontaneous pneumothorax in pediatric patients
Authors
KeywordsBullectomy
Pediatrics thoracoscopy
Pleurodesis
Primary spontaneous pneumothorax
Issue Date2009
PublisherSpringer Verlag. The Journal's web site is located at http://link.springer.de/link/service/journals/00383/index.htm
Citation
Pediatric Surgery International, 2009, v. 25 n. 9, p. 763-766 How to Cite?
Abstract
Introduction: Primary spontaneous pneumothorax is a condition that carries significant morbidities and mortalities if not managed properly. Thoracotomy with bullectomy has been the treatment of choice for persistent air leak or recurrence after initial chest drain insertion. With the advancement in minimal invasive surgery, the thoracoscopic approach can dramatically reduce the complications of open thoracotomy. We review our experience in managing spontaneous pneumothorax in children using thoracoscopy. Materials and methods: The medical records of all patients who were discharged with the diagnosis of spontaneous pneumothorax from 1997 to 2007 were reviewed. The demographic data and management were noted. For those patients who underwent thoracoscopic surgery, the intra-operative findings, post-operative outcomes and complications were compared. Results: A total of 15 patients with spontaneous pneumothorax were identified. They all received chest drain insertion as the primary treatment modality. Nine patients, with mean age 16.1 ± 0.9 years, failed the initial management and subsequently received thoracoscopic surgery with a mean interval of 7.6 ± 2.5 days after initial chest drain insertion. Among these patients, bullae were found in seven patients (two patients had more than one bulla). The bullae were excised with mean operative time being 63.9 ± 25.2 min. No conversion to thoracotomy was reported. All patients received paracetamol as pain control and there was no associated complication. No recurrence was found at follow-up till now. Conclusion: This study confirms that the presence of bulla is commonly seen in patients with spontaneous pneumothorax who fail initial management. Thoracoscopic bullectomy, a safe and effective operation, should be offered to this group of patients. © 2009 Springer-Verlag.
Persistent Identifierhttp://hdl.handle.net/10722/84380
ISSN
2013 Impact Factor: 1.061
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorChung, HYen_HK
dc.contributor.authorWong, KKYen_HK
dc.contributor.authorLan, LCLen_HK
dc.contributor.authorTam, PKHen_HK
dc.date.accessioned2010-09-06T08:52:16Z-
dc.date.available2010-09-06T08:52:16Z-
dc.date.issued2009en_HK
dc.identifier.citationPediatric Surgery International, 2009, v. 25 n. 9, p. 763-766en_HK
dc.identifier.issn0179-0358en_HK
dc.identifier.urihttp://hdl.handle.net/10722/84380-
dc.description.abstractIntroduction: Primary spontaneous pneumothorax is a condition that carries significant morbidities and mortalities if not managed properly. Thoracotomy with bullectomy has been the treatment of choice for persistent air leak or recurrence after initial chest drain insertion. With the advancement in minimal invasive surgery, the thoracoscopic approach can dramatically reduce the complications of open thoracotomy. We review our experience in managing spontaneous pneumothorax in children using thoracoscopy. Materials and methods: The medical records of all patients who were discharged with the diagnosis of spontaneous pneumothorax from 1997 to 2007 were reviewed. The demographic data and management were noted. For those patients who underwent thoracoscopic surgery, the intra-operative findings, post-operative outcomes and complications were compared. Results: A total of 15 patients with spontaneous pneumothorax were identified. They all received chest drain insertion as the primary treatment modality. Nine patients, with mean age 16.1 ± 0.9 years, failed the initial management and subsequently received thoracoscopic surgery with a mean interval of 7.6 ± 2.5 days after initial chest drain insertion. Among these patients, bullae were found in seven patients (two patients had more than one bulla). The bullae were excised with mean operative time being 63.9 ± 25.2 min. No conversion to thoracotomy was reported. All patients received paracetamol as pain control and there was no associated complication. No recurrence was found at follow-up till now. Conclusion: This study confirms that the presence of bulla is commonly seen in patients with spontaneous pneumothorax who fail initial management. Thoracoscopic bullectomy, a safe and effective operation, should be offered to this group of patients. © 2009 Springer-Verlag.en_HK
dc.languageengen_HK
dc.publisherSpringer Verlag. The Journal's web site is located at http://link.springer.de/link/service/journals/00383/index.htmen_HK
dc.relation.ispartofPediatric Surgery Internationalen_HK
dc.rightsThe original publication is available at www.springerlink.com-
dc.subjectBullectomyen_HK
dc.subjectPediatrics thoracoscopyen_HK
dc.subjectPleurodesisen_HK
dc.subjectPrimary spontaneous pneumothoraxen_HK
dc.subject.meshAdolescent-
dc.subject.meshBlister - pathology - surgery-
dc.subject.meshChest Tubes-
dc.subject.meshPneumothorax - surgery-
dc.subject.meshThoracoscopy-
dc.titleThoracoscopic bullectomy for primary spontaneous pneumothorax in pediatric patientsen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0179-0358&volume=25&issue=9&spage=763&epage=766&date=2009&atitle=Thoracoscopic+bullectomy+for+primary+spontaneous+pneumothorax+in+pediatric+patientsen_HK
dc.identifier.emailWong, KKY: kkywong@hkucc.hku.hken_HK
dc.identifier.emailTam, PKH: paultam@hkucc.hku.hken_HK
dc.identifier.authorityWong, KKY=rp01392en_HK
dc.identifier.authorityTam, PKH=rp00060en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1007/s00383-009-2432-9en_HK
dc.identifier.pmid19652983en_HK
dc.identifier.scopuseid_2-s2.0-69549135120en_HK
dc.identifier.hkuros164453en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-69549135120&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume25en_HK
dc.identifier.issue9en_HK
dc.identifier.spage763en_HK
dc.identifier.epage766en_HK
dc.identifier.isiWOS:000269427600006-
dc.publisher.placeGermanyen_HK
dc.identifier.scopusauthoridChung, PHY=34568741300en_HK
dc.identifier.scopusauthoridWong, KKY=24438686400en_HK
dc.identifier.scopusauthoridLan, LCL=7005687228en_HK
dc.identifier.scopusauthoridTam, PKH=7202539421en_HK
dc.identifier.citeulike5540210-

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats