| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Original Articles |
The aim of this study was to analyse differences in efficacy and costs in treating first time or recurrent spontaneous pneumothorax by conservative therapy (pleural drainage or observation) and video-assisted thoracoscopic surgery (VATS). Retrospectively, 112 patients treated by conservative therapy during 1985-1989 (Period 1) were compared with 97 patients treated by VATS during 1991-1994 (Period 2). Mean follow-up time in each period was more than 2 yrs. Patients in both periods had comparable clinical characteristics. Irrespective of first time or recurrent spontaneous pneumothorax at presentation, drainage and hospitalization times were longer, and complication and recurrence rates were higher in Period 1. When costs due to the waiting time before VATS were excluded, the total costs in Period 1 were higher than in Period 2. Video-assisted thoracoscopic surgery is more effective in treating patients with first time or recurrent spontaneous pneumothorax, with less morbidity and total costs compared to conservative therapy. In view of cost-effectiveness, we feel that a different management of first time or recurrent spontaneous pneumothorax is not justified.
This article has been cited by other articles:
|
|
 |
|
  J.-S. Chen, H.-H. Hsu, K.-T. Tsai, A. Yuan, W.-J. Chen, and Y.-C. Lee Salvage for unsuccessful aspiration of primary pneumothorax: thoracoscopic surgery or chest tube drainage? Ann. Thorac. Surg., June 1, 2008; 85(6): 1908 - 1913. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. Pompeo, F. Tacconi, D. Mineo, and T. C. Mineo The role of awake video-assisted thoracoscopic surgery in spontaneous pneumothorax J. Thorac. Cardiovasc. Surg., March 1, 2007; 133(3): 786 - 790. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J-M. Tschopp, R. Rami-Porta, M. Noppen, and P. Astoul Management of spontaneous pneumothorax: state of the art. Eur. Respir. J., September 1, 2006; 28(3): 637 - 650. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. H. Chou, Y.-J. Cheng, and E. L. Kao Is video-assisted thoracic surgery indicated in the first episode primary spontaneous pneumothorax? Interactive CardioVascular and Thoracic Surgery, December 1, 2003; 2(4): 552 - 554. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P.-E. Falcoz, C. Binquet, F. Clement, D. Kaili, C. Quantin, S. Chocron, and J.-P. Etievent Management of the second episode of spontaneous pneumothorax: a decision analysis Ann. Thorac. Surg., December 1, 2003; 76(6): 1843 - 1848. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Margolis, F. Gharagozloo, B. Tempesta, G. D. Trachiotis, N. M. Katz, and E. P. Alexander Video-assisted thoracic surgical treatment of initial spontaneous pneumothorax in young patients Ann. Thorac. Surg., November 1, 2003; 76(5): 1661 - 1664. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S Packham and P Jaiswal Spontaneous pneumothorax: use of aspiration and outcomes of management by respiratory and general physicians Postgrad. Med. J., June 1, 2003; 79(932): 345 - 347. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Pieters The best treatment for the first episode of primary spontaneous pneumothorax: an unanswered question Eur. Respir. J., April 1, 2003; 21(4): 732 - 732. [Full Text] [PDF]
|
|
|
|
|
|
J-M. Tschopp, C. Boutin, P. Astoul, J-P. Janssen, C-T. Bolliger, L. Delaunois, P. Driesen, G. Tassi, A-P. Perruchoud, and the European Study on Medical Video-Assisted Thora From the Authors Eur. Respir. J., April 1, 2003; 21(4): 732 - 733. [Full Text] [PDF]
|
|
|
|
|
|
J-M. Tschopp, C. Boutin, P. Astoul, J-P. Janssen, S. Grandin, C-T. Bolliger, L. Delaunois, P. Driesen, G. Tassi, A-P. Perruchoud, et al. Talcage by medical thoracoscopy for primary spontaneous pneumothorax is more cost-effective than drainage: a randomised study Eur. Respir. J., October 1, 2002; 20(4): 1003 - 1009. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. W. Light Manual Aspiration: The Preferred Method for Managing Primary Spontaneous Pneumothorax? Am. J. Respir. Crit. Care Med., May 1, 2002; 165(9): 1202 - 1203. [Full Text] [PDF]
|
|
|
|
|
|
M. Noppen, P. Alexander, P. Driesen, H. Slabbynck, and A. Verstraeten Manual Aspiration versus Chest Tube Drainage in First Episodes of Primary Spontaneous Pneumothorax: A Multicenter, Prospective, Randomized Pilot Study Am. J. Respir. Crit. Care Med., May 1, 2002; 165(9): 1240 - 1244. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. Torresini, M. Vaccarili, D. Divisi, and R. Crisci Is video-assisted thoracic surgery justified at first spontaneous pneumothorax? Eur. J. Cardiothorac. Surg., July 1, 2001; 20(1): 42 - 45. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. H. Baumann, C. Strange, J. E. Heffner, R. Light, T. J. Kirby, J. Klein, J. D. Luketich, E. A. Panacek, and S. A. Sahn Management of Spontaneous Pneumothorax : An American College of Chest Physicians Delphi Consensus Statement Chest, February 1, 2001; 119(2): 590 - 602. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. A. Hatz, M. F. Kaps, G. Meimarakis, F. Loehe, C. Muller, and H. Furst Long-term results after video-assisted thoracoscopic surgery for first-time and recurrent spontaneous pneumothorax Ann. Thorac. Surg., July 1, 2000; 70(1): 253 - 257. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. S W Chan Current opinions and practices in the treatment of spontaneous pneumothorax Emerg. Med. J., May 1, 2000; 17(3): 165 - 169. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. G. Colt Thoracoscopy: Window to the Pleural Space Chest, November 1, 1999; 116(5): 1409 - 1415. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. Massard, P. Thomas, and J.-M. Wihlm Minimally invasive management for first and recurrent pneumothorax Ann. Thorac. Surg., August 1, 1998; 66(2): 592 - 599. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
