Robotic-Assisted Pleurectomy Is a Safe and Effective Surgical Treatment for Spontaneous Pneumothorax.

Autor: Shehata DG; Division of Thoracic Surgery, Lahey Hospital and Medical Center, Burlington, Massachusetts., Digesu CS; Division of Thoracic Surgery, Boston Medical Center, Boston University Chobanian & Avedisian School of Medicine, Boston, Massachusetts., Lopez E; Division of Thoracic Surgery, Lahey Hospital and Medical Center, Burlington, Massachusetts., Vigna C; Division of Thoracic Surgery, Lahey Hospital and Medical Center, Burlington, Massachusetts; Division of Thoracic Surgery and Interventional Pulmonology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts., Moffatt-Bruce S; Division of Thoracic Surgery, Lahey Hospital and Medical Center, Burlington, Massachusetts; Tufts University School of Medicine, Boston, Massachusetts., Stock CT; Division of Thoracic Surgery, Lahey Hospital and Medical Center, Burlington, Massachusetts; Tufts University School of Medicine, Boston, Massachusetts., Servais EL; Division of Thoracic Surgery, Lahey Hospital and Medical Center, Burlington, Massachusetts; Tufts University School of Medicine, Boston, Massachusetts., Watkins AA; Division of Thoracic Surgery, Lahey Hospital and Medical Center, Burlington, Massachusetts; Tufts University School of Medicine, Boston, Massachusetts. Electronic address: Ammara.watkins@lahey.org.
Jazyk: angličtina
Zdroj: The Journal of surgical research [J Surg Res] 2024 Oct; Vol. 302, pp. 944-948. Date of Electronic Publication: 2024 Sep 17.
DOI: 10.1016/j.jss.2024.07.096
Abstrakt: Introduction: Spontaneous pneumothorax is a common thoracic surgical problem. To prevent recurrence, surgical options include blebectomy, mechanical or chemical pleurodesis, pleurectomy, or a combination of these operations. Pleurectomy is associated with lower recurrence rates but may be technically challenging via video-assisted thoracoscopic surgery. We report the first series of robotic-assisted pleurectomy (RAP) for spontaneous pneumothorax.
Methods: A retrospective, single-center analysis was conducted on consecutive patients undergoing RAP for spontaneous pneumothorax from 2017 to 2023. Patients with prior surgery on the same side for pneumothorax were excluded. Demographics, comorbidities, functional status, intraoperative and perioperative variables were collected. 30-d readmission, 30-d mortality, and recurrence were recorded.
Results: Thirty-six patients underwent RAP during the study period with a median follow-up of 36 mo. Patients had a median age of 41.5 (interquartile range [IQR] 21.5-68) y and were mostly male (80.6%) and past smokers (44.4%) with 66.6% having a primary spontaneous pneumothorax. The median time to chest tube removal was 3 d (IQR 2-3) and the median length of stay was two days (IQR 2-4). Complications occurred in seven patients with the majority (85.7%) having a grade 2 Clavien-Dindo classification score. There was no 30-d mortality or recurrence.
Conclusions: Robotic-assisted pleurectomy for spontaneous pneumothorax is a safe and effective operation that can be used to prevent future recurrence.
(Copyright © 2024 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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