Nonintubated versus intubated thoracoscopic bullectomy for primary spontaneous pneumothorax: A multicenter propensity-matched analysis

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dc.authoridTOSI, DAVIDE/0000-0003-3815-2512
dc.authoridkaramustafaoglu, yekta altemur/0000-0002-5491-1219
dc.authoridpompeo, eugenio/0000-0002-5958-1423
dc.authoridBedetti, Benedetta/0000-0002-4362-1443
dc.authoridElkhouly, Ahmed Gamal/0000-0002-0491-0365
dc.authorwosidTOSI, DAVIDE/AAI-1310-2020
dc.authorwosidkaramustafaoglu, yekta altemur/S-9512-2019
dc.authorwosidpompeo, eugenio/AFK-5797-2022
dc.contributor.authorElkhouly, Ahmed G.
dc.contributor.authorKaramustafaoglu, Yekta Altemur
dc.contributor.authorGalvez, Carlos
dc.contributor.authorRao, Madhuri
dc.contributor.authorLerut, Philip
dc.contributor.authorGrimonprez, Annelies
dc.contributor.authorAbu Akar, Firas
dc.date.accessioned2024-06-12T11:17:02Z
dc.date.available2024-06-12T11:17:02Z
dc.date.issued2022
dc.departmentTrakya Üniversitesien_US
dc.description.abstractBackground We aimed at comparing in a multicenter propensity-matched analysis, results of nonintubated versus intubated video-assisted thoracic surgery (VATS) bullectomy/blebectomy for primary spontaneous pneumothorax (PSP). Methods Eleven Institutions participated in the study. A total of 208 patients underwent VATS bullectomy by intubated (IVATS) (N = 138) or nonintubated (NIVATS) (N = 70) anesthesia during 60 months. After propensity matching, 70 pairs of patients were compared. Anesthesia in NIVATS included intercostal (N = 61), paravertebral (N = 5) or thoracic epidural (N = 4) block and sedation with (N = 24) or without (N = 46) laryngeal mask under spontaneous ventilation. In the IVATS group, all patients underwent double-lumen-intubation and mechanical ventilation. Primary outcomes were morbidity and recurrence rates. Results There was no difference in age (26.7 +/- 8 vs 27.4 +/- 9 years), body mass index (19.7 +/- 2.6 vs 20.6 +/- 2.5), and American Society of Anesthesiology score (2 vs 2). Main results show no difference both in morbidity (11.4% vs 12.8%; p = 0.79) and recurrence free rates (92.3% vs 91.4%; p = 0.49) between NIVATS and IVATS, respectively, whereas a difference favoring the NIVATS group was found in anesthesia time (p < 0.0001) and operative time (p < 0.0001), drainage time (p = 0.001), and hospital stay (p < 0.0001). There was no conversion to thoracotomy and no hospital mortality. One patient in the NIVATS group needed reoperation due to chest wall bleeding. Conclusion Results of this multicenter propensity-matched study have shown no intergroup difference in morbidity and recurrence rates whereas shorter operation room time and hospital stay favored the NIVATS group, suggesting a potential increase in the role of NIVATS in surgical management of PSP. Further prospective studies are warranted.en_US
dc.identifier.doi10.1177/02184923221129239
dc.identifier.endpage1016en_US
dc.identifier.issn0218-4923
dc.identifier.issn1816-5370
dc.identifier.issue9en_US
dc.identifier.pmid36163699en_US
dc.identifier.scopus2-s2.0-85139062696en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage1010en_US
dc.identifier.urihttps://doi.org/10.1177/02184923221129239
dc.identifier.urihttps://hdl.handle.net/20.500.14551/24557
dc.identifier.volume30en_US
dc.identifier.wosWOS:000860133000001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSage Publications Incen_US
dc.relation.ispartofAsian Cardiovascular & Thoracic Annalsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectVATSen_US
dc.subjectThoracoscopyen_US
dc.subjectNonintubated Anesthesiaen_US
dc.subjectSpontaneous Ventilationen_US
dc.subjectPrimary Spontaneous Pneumothoraxen_US
dc.subjectAssisted Thoracic-Surgeryen_US
dc.subjectLocal-Anesthesiaen_US
dc.subjectYoung-Adultsen_US
dc.subjectRisk-Factorsen_US
dc.subjectManagementen_US
dc.subjectRecurrenceen_US
dc.titleNonintubated versus intubated thoracoscopic bullectomy for primary spontaneous pneumothorax: A multicenter propensity-matched analysisen_US
dc.typeArticleen_US

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