Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Is Chest Tube Omission Safe for Patients with Primary Spontaneous Pneumothorax Scheduled for VATS?

Version 1 : Received: 25 January 2024 / Approved: 26 January 2024 / Online: 26 January 2024 (09:41:43 CET)

How to cite: Kim, C.W.; Park, I.H.; Byun, C.S. Is Chest Tube Omission Safe for Patients with Primary Spontaneous Pneumothorax Scheduled for VATS?. Preprints 2024, 2024011878. https://doi.org/10.20944/preprints202401.1878.v1 Kim, C.W.; Park, I.H.; Byun, C.S. Is Chest Tube Omission Safe for Patients with Primary Spontaneous Pneumothorax Scheduled for VATS?. Preprints 2024, 2024011878. https://doi.org/10.20944/preprints202401.1878.v1

Abstract

Primary spontaneous pneumothorax (PSP) is a pleural disease that abruptly affects healthy adolescents and young adults, representing a common thoracic disorder in this age group. This study aimed to investigate the necessity of preoperative chest tube insertion in patients with PSP and to re-evaluate current clinical treatment approaches. A retrospective review of medical records was conducted for children and young adults aged 14–30 years, diagnosed with PSP and who underwent Video-assisted thoracoscopic surgery (VATS) between January 2016 and December 2022 at Wonju Severance Christian Hospital. Patients were retrospectively divided into two groups based on their initial treatment: chest tube insertion and non-chest tube insertion. Clinical data including demographics, treatment details, and outcomes were collected and compared. Total 128 cases of PSP were included in the study. The total length of hospital stay was significantly shorter in the non-chest tube group (p=0.000), which was attributed to the omission of pre-operative chest tube insertions. No significant differences were observed between the two groups in terms of postoperative complications or recurrence rates. In cases of young patients with PSP, omitting pre-operative chest tube insertion may be a viable option if the patient is scheduled for VATS.

Keywords

Pneumothorax; Chest tube; Video-assisted thoracoscopic surgery; Recurrence

Subject

Medicine and Pharmacology, Pulmonary and Respiratory Medicine

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