Hai-Yan Guo1, Xiao-Qing Pan2, Ming Hu3, Yong-Feng Liang1, Xin-Cai Qiu1, Zhen-Hua Chen1. 1. Department of Respiratory Medicine, Nanhai Hospital, Affiliated Hospital of Southern Medical University, Foshan, China. 2. Department of Emergency and Critical Care Medicine, Sixth People's Hospital of Nanhai, Foshan, China. 3. Department of Urology Medicine, Nanhai Hospital, Affiliated Hospital of Southern Medical University, Foshan, China.
Abstract
PURPOSE: This study aims to compare the effects and prognosis of medical thoracoscopy-assisted argon plasma coagulation (APC) combined with electrosurgical unit (ESU) surgery, video-assisted thoracic surgery (VATS), and pleurodesis surgery, in providing appropriate treatment for elderly refractory pneumothorax patients. METHODS: Patients with refractory pneumothorax aged over 65 years were divided into three groups: APC combined with ESU (N = 20), VATS (N = 26), and pleurodesis (N = 24). Data on demographic characteristics, lung function evaluation, and short- and long-term prognoses were collected. RESULTS: Following surgery, compared with the APC-ESU and pleurodesis groups, patients in the VATS group demonstrated poor short-term prognoses, with high pleural effusion drainage levels and high visual analog scores (VAS; P <0.05). After the surgery, St. George's Respiratory Questionnaire (SGRQ) scores in the pleurodesis group were slightly elevated, whereas SGRQ scores in both the APC-ESU and VATS groups demonstrated a continual decrease. Finally, medical resource consumption analysis demonstrated a significant difference in hospitalization costs among the three groups; the VATS group being the most expensive. CONCLUSION: Medical thoracoscopy-assisted APC combined with ESU is a safe, effective, and affordable treatment for elderly patients with refractory pneumothorax.
PURPOSE: This study aims to compare the effects and prognosis of medical thoracoscopy-assisted argon plasma coagulation (APC) combined with electrosurgical unit (ESU) surgery, video-assisted thoracic surgery (VATS), and pleurodesis surgery, in providing appropriate treatment for elderly refractory pneumothorax patients. METHODS:Patients with refractory pneumothorax aged over 65 years were divided into three groups: APC combined with ESU (N = 20), VATS (N = 26), and pleurodesis (N = 24). Data on demographic characteristics, lung function evaluation, and short- and long-term prognoses were collected. RESULTS: Following surgery, compared with the APC-ESU and pleurodesis groups, patients in the VATS group demonstrated poor short-term prognoses, with high pleural effusion drainage levels and high visual analog scores (VAS; P <0.05). After the surgery, St. George's Respiratory Questionnaire (SGRQ) scores in the pleurodesis group were slightly elevated, whereas SGRQ scores in both the APC-ESU and VATS groups demonstrated a continual decrease. Finally, medical resource consumption analysis demonstrated a significant difference in hospitalization costs among the three groups; the VATS group being the most expensive. CONCLUSION: Medical thoracoscopy-assisted APC combined with ESU is a safe, effective, and affordable treatment for elderly patients with refractory pneumothorax.
Authors: Jean-Marie Tschopp; Oliver Bintcliffe; Philippe Astoul; Emilio Canalis; Peter Driesen; Julius Janssen; Marc Krasnik; Nicholas Maskell; Paul Van Schil; Thomy Tonia; David A Waller; Charles-Hugo Marquette; Giuseppe Cardillo Journal: Eur Respir J Date: 2015-06-25 Impact factor: 16.671
Authors: Arife Zeybek; Serdar Kalemci; Ozlem Gürünlü Alma; Alev Süzen; Murat Akgül; Kadir Koç Journal: Iran Red Crescent Med J Date: 2013-02-05 Impact factor: 0.611