Lower Recurrence Rate After Surgical Treatment for Primary Spontaneous Pneumothorax Using a Digital Chest Drainage System.

IF 1.6 Q2 SURGERY Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-07-01 Epub Date: 2024-09-12 DOI:10.1177/15569845241272153

Peter Sze-Yuen Yu, Kin Wai Chan, Kevin Lim, Ivan Chi Hin Siu, Randolph Hung Leung Wong, Innes Yuk Pui Wan

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Abstract

Objective: This study assessed the impact of digital chest drainage systems for patients undergoing video-assisted thoracoscopic surgery (VATS) pleurodesis for primary spontaneous pneumothorax (PSP) as compared with conventional chest drainage.

Methods: A retrospective analysis of patients who underwent VATS pleurodesis for PSP was conducted. The primary outcome was pneumothorax recurrence, while secondary outcomes included time to mobilization, degree of lung expansion, drainage duration, and length of hospital stay. These measures were expressed as average treatment effect and subsequently compared after propensity score adjustment.

Results: In total, 125 consecutive patients over a 64-month period were analyzed, with 55 patients in the digital drainage system group and 70 patients in the conventional drainage system group. After propensity score adjustment, the use of a digital drainage system was significantly associated with earlier mobilization (-2.22 days, P < 0.001) and lower rate of recurrence (-11.2%, P = 0.049).

Conclusions: The digital drainage system facilitated earlier postoperative free mobilization and resulted in lower pneumothorax recurrence rates.

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使用数字胸腔引流系统手术治疗原发性自发性气胸后复发率更低

研究目的本研究评估了数字胸腔引流系统对接受视频辅助胸腔镜手术（VATS）胸膜腔穿刺术治疗原发性自发性气胸（PSP）患者的影响，并与传统胸腔引流术进行了比较：对接受 VATS 胸膜腔穿刺术治疗原发性自发性气胸的患者进行了回顾性分析。主要结果是气胸复发，次要结果包括活动时间、肺扩张程度、引流时间和住院时间。这些指标以平均治疗效果表示，并在进行倾向评分调整后进行比较：共分析了 125 名连续住院 64 个月的患者，其中数字引流系统组 55 人，传统引流系统组 70 人。经过倾向评分调整后，数字引流系统的使用与患者更早康复（-2.22 天，P < 0.001）和更低的复发率（-11.2%，P = 0.049）显著相关：数字引流系统有助于术后更早地自由活动，并降低气胸复发率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery SURGERY-

CiteScore

2.00

自引率

6.70%

发文量

期刊介绍： Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery is the first journal whose main mission is to disseminate information specifically about advances in technology and techniques that lead to less invasive treatment of cardiothoracic and vascular disease. It delivers cutting edge original research, reviews, essays, case reports, and editorials from the pioneers and experts in the field of minimally invasive cardiothoracic and vascular disease, including biomedical engineers. Also included are papers presented at the annual ISMICS meeting. Official Journal of the International Society for Minimally Invasive Cardiothoracic Surgery