PMID- 29279462
DCOM- 20180827
LR  - 20180827
IS  - 2186-1005 (Electronic)
IS  - 1341-1098 (Linking)
VI  - 24
IP  - 1
DP  - 2018 Feb 20
TI  - Recurrence of Spontaneous Pneumothorax Is Not Associated with Allegedly
      Risk-Prone Lifestyle Conduct.
PG  - 25-31
LID - 10.5761/atcs.oa.17-00130 [doi]
AB  - PURPOSE: Spontaneous pneumothorax (PNTX) is a common disease frequently operated 
      at specialized thoracic surgery units. Videothoracoscopic surgery (VATS) has
      become the standard for treatment and recurrence prevention. While there is broad
      consensus regarding indications and techniques of PNTX surgery, postoperative
      risks and consecutive patient behavioral advice have not been sufficiently
      elucidated. METHODS: Single-center cohort analysis of 641 patients operated for
      primary PNTX by VATS over 10 years. Putatively recurrence-prone lifestyle
      activities (smoking status, flying habits, and scuba diving) and actual
      occurrence of recurrences were correlated. RESULTS: Follow-up rate was 46%
      (279/607 patients). Mean time interval between primary operation and follow-up
      was 61 (range: 5-177) months. In 10 patients (3.6%), a PNTX recurrence was
      observed. Regarding postoperative risk behavior reported at follow-up, 28% of
      patients were active smokers (15 +/- 7 cigarettes/day), 59% traveled by plane
      repeatedly, and only two patients did scuba diving (0.7%). Low body-mass-index
      was associated with an increase in PNTX recurrence, whereas smoking, flying, and 
      scuba diving could not be identified as risk factors. CONCLUSION: In our study,
      none of the supposed "classic" lifestyle-associated risk factors for PNTX
      recurrence after VATS proved to be a significant threat. Postoperative patient
      behavior might not be constrained by overcautious medical advice.
FAU - Steger, Volker
AU  - Steger V
AD  - Department of Thoracic, Cardiac and Vascular Surgery, Tuebingen University
      Hospital, Tuebingen, Germany.
FAU - Sostheim, Ulrike
AU  - Sostheim U
AD  - Department of Thoracic Surgery, Schillerhoehe Hospital, Schillerhoehe, Germany.
FAU - Leistner, Marcus
AU  - Leistner M
AD  - Department of Thoracic, Cardiac and Vascular Surgery, Goettingen University
      Hospital, Goettingen, Germany.
FAU - Walles, Thorsten
AU  - Walles T
AD  - Department of Thoracic Surgery, Schillerhoehe Hospital, Schillerhoehe, Germany.
AD  - Department of Cardiothoracic Surgery, Magdeburg University Hospital, Magdeburg,
LA  - eng
PT  - Journal Article
DEP - 20171227
PL  - Japan
TA  - Ann Thorac Cardiovasc Surg
JT  - Annals of thoracic and cardiovascular surgery : official journal of the
      Association of Thoracic and Cardiovascular Surgeons of Asia
JID - 9703158
SB  - IM
MH  - Air Travel
MH  - Diving/adverse effects
MH  - Germany
MH  - Humans
MH  - *Life Style
MH  - Pneumothorax/diagnostic imaging/*etiology/surgery
MH  - Recurrence
MH  - Retrospective Studies
MH  - Risk Assessment
MH  - Risk Factors
MH  - Smoking/adverse effects
MH  - Thoracic Surgery, Video-Assisted
MH  - Time Factors
PMC - PMC5833137
OT  - long-term follow-up
OT  - pneumothorax
OT  - recurrence
OT  - risk factors
EDAT- 2017/12/28 06:00
MHDA- 2018/08/28 06:00
CRDT- 2017/12/28 06:00
PHST- 2017/12/28 06:00 [pubmed]
PHST- 2018/08/28 06:00 [medline]
PHST- 2017/12/28 06:00 [entrez]
AID - 10.5761/atcs.oa.17-00130 [doi]
PST - ppublish
SO  - Ann Thorac Cardiovasc Surg. 2018 Feb 20;24(1):25-31. doi:
      10.5761/atcs.oa.17-00130. Epub 2017 Dec 27.