skip to main content
Language:
Search Limited to: Search Limited to: Resource type Show Results with: Show Results with: Search type Index

Short- and long-term outcomes following surgery for primary spontaneous pneumothorax in Iceland

Laeknabladid, 2022-06, Vol.108 (6), p.299-305 [Peer Reviewed Journal]

ISSN: 0023-7213 ;EISSN: 1670-4959 ;DOI: 10.17992/lbl.2022.06.696 ;PMID: 35611981

Full text available

Citations Cited by
  • Title:
    Short- and long-term outcomes following surgery for primary spontaneous pneumothorax in Iceland
  • Author: Magnadottir, Thordis ; Heitmann, Leon Arnar ; Arnardottir, Tinna Harper ; Kristjansson, Tomas Thor ; Silverborn, Per Martin ; Sigurdsson, Martin Ingi ; Gudbjartsson, Tomas
  • Subjects: Adult ; Female ; Humans ; Iceland - epidemiology ; Male ; Pneumothorax - diagnosis ; Pneumothorax - epidemiology ; Pneumothorax - surgery ; Recurrence ; Retrospective Studies ; Thoracic Surgery, Video-Assisted - adverse effects ; Thoracic Surgery, Video-Assisted - methods ; Treatment Outcome ; Young Adult
  • Is Part Of: Laeknabladid, 2022-06, Vol.108 (6), p.299-305
  • Description: Primary spontaneous pneumothorax (PSP) is a common disease where surgery is indicated for persistant air leak or recurrent pneumothorax. We studied the outcomes of PSP-surgery over a 28 year period in a whole nation. A retrospective study on 386 patients (median age 24 years, 78% males) that underwent 430 PSP surgeries at Landspitali University Hospital 1991-2018. Annual incidence of the procedure was calculated and previous medical history, indication and type of surgery, complications and length of hospital stay were registered. Patients in four 7 year periods were compared, recurrent pneumothoraces requiring reoperation (median follow-up 16 years) registered and predictors of reoperation identified with logistic regression. Annually 14.5 PSP surgeries (median, range 9-27) were performed; the incidence decreasing by 2.9% per year on average. Every other patient smoked and 77% of surgeries were performed with video assisted thoracocopic surgery (VATS). The most common early complications (p<30 days from surgery) were persistent airleak (17%), pneumonia (2%) and empyema (0,5%). No patient died within 30 days from surgery. Reoperation for recurrent pneumothorax was performed on 27 patients; 24 following VATS (7%), median time from the primary surgery being 16 months. Logistic regression showed that younger patients were more likely to require reoperation for recurrent pneumothorax. Surgical treament for PSP is safe and major early complications rare. The rate of recurrent pneumothorax requiring surgery was 6%, which is similar to other studies. For unknown reasons the incidence of PSP surgery declined, but future research has to answer if it is linked to decreased smoking in the Icelandic population.
  • Publisher: Iceland
  • Language: Icelandic;English
  • Identifier: ISSN: 0023-7213
    EISSN: 1670-4959
    DOI: 10.17992/lbl.2022.06.696
    PMID: 35611981
  • Source: MEDLINE
    DOAJ Directory of Open Access Journals
Back to results list
Go to Previous pagePrevious Result  7 NextGo to Next page
INSPIRE LIBRARY - TON DUC THANG UNIVERSITY (84-028) 37 755 057 Feedback
19 Nguyen Huu Tho St. Dist.7, HCM thuvien@tdtu.edu.vn

Copyright © 2017 INSPIRE LIBRARY - TON DUC THANG UNIVERSITY

Searching Remote Databases, Please Wait