Does Video-Assisted Thoracoscopic Surgery with Bullectomy and Partial Pleurectomy for Primary Spontaneous Pneumothorax Impair Health-Related Quality of Life and Pulmonary Function?

Background: Video-assisted thoracoscopic surgery (VATS) with partial pleurectomy is an established treatment for primary spontaneous pneumothorax (PSP). However, postoperative pulmonary function and health-related quality of life (HR-QoL) after VATS–bullectomy with partial pleurectomy (VBPP) have no...

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Autores principales: Stephen Fung, Hany Ashmawy, Anja Schauer, Martin Eichler, Sami Safi, Levent Dizdar, Alexander Rehders, Wolfram Trudo Knoefel, Georg Fluegen
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:bf6e9e32b41d4b7a90bd816f5f3bc0f62021-11-25T17:44:16ZDoes Video-Assisted Thoracoscopic Surgery with Bullectomy and Partial Pleurectomy for Primary Spontaneous Pneumothorax Impair Health-Related Quality of Life and Pulmonary Function?10.3390/healthcare91114632227-9032https://doaj.org/article/bf6e9e32b41d4b7a90bd816f5f3bc0f62021-10-01T00:00:00Zhttps://www.mdpi.com/2227-9032/9/11/1463https://doaj.org/toc/2227-9032Background: Video-assisted thoracoscopic surgery (VATS) with partial pleurectomy is an established treatment for primary spontaneous pneumothorax (PSP). However, postoperative pulmonary function and health-related quality of life (HR-QoL) after VATS–bullectomy with partial pleurectomy (VBPP) have not been elucidated. Methods: Eligible patients were assessed for HR-QoL using the Short-Form 36 (SF-36) health survey. Pulmonary function (PF) was evaluated by spirometry. We compared the results of the VBPP cohort with the German national norms, and with a similar cohort of patients successfully treated by chest tube (CT) only. Results: A total of 25 VBPP patients completed the SF-36 health survey, of whom 15 presented for PF assessment. Between the VBPP and CT groups, the mean forced vital capacity (FVC), forced expiratory volume in one second (FEV1), and FEV1/FVC ratio were not statistically significantly different. However, in both groups, FVC, FEV1, and FEV1/FVC were above the lower limit of normal (LLN), suggesting no restrictive or obstructive patterns. Compared with the sex- and age-matched normal German population, patients who underwent VBPP displayed a similar physical component summary score and a significantly decreased mental component summary score. Interestingly, comparison of the SF-36 domains between the VBPP and CT groups showed no statistical difference. Conclusion: VBPP is a suitable surgical treatment for PSP, with no apparent adverse impacts on pulmonary or physical function. However, psychological distress and measures to counteract its impact should be considered.Stephen FungHany AshmawyAnja SchauerMartin EichlerSami SafiLevent DizdarAlexander RehdersWolfram Trudo KnoefelGeorg FluegenMDPI AGarticleVATSquality of lifepulmonary functionMedicineRENHealthcare, Vol 9, Iss 1463, p 1463 (2021)
institution DOAJ
collection DOAJ
language EN
topic VATS
quality of life
pulmonary function
Medicine
R
spellingShingle VATS
quality of life
pulmonary function
Medicine
R
Stephen Fung
Hany Ashmawy
Anja Schauer
Martin Eichler
Sami Safi
Levent Dizdar
Alexander Rehders
Wolfram Trudo Knoefel
Georg Fluegen
Does Video-Assisted Thoracoscopic Surgery with Bullectomy and Partial Pleurectomy for Primary Spontaneous Pneumothorax Impair Health-Related Quality of Life and Pulmonary Function?
description Background: Video-assisted thoracoscopic surgery (VATS) with partial pleurectomy is an established treatment for primary spontaneous pneumothorax (PSP). However, postoperative pulmonary function and health-related quality of life (HR-QoL) after VATS–bullectomy with partial pleurectomy (VBPP) have not been elucidated. Methods: Eligible patients were assessed for HR-QoL using the Short-Form 36 (SF-36) health survey. Pulmonary function (PF) was evaluated by spirometry. We compared the results of the VBPP cohort with the German national norms, and with a similar cohort of patients successfully treated by chest tube (CT) only. Results: A total of 25 VBPP patients completed the SF-36 health survey, of whom 15 presented for PF assessment. Between the VBPP and CT groups, the mean forced vital capacity (FVC), forced expiratory volume in one second (FEV1), and FEV1/FVC ratio were not statistically significantly different. However, in both groups, FVC, FEV1, and FEV1/FVC were above the lower limit of normal (LLN), suggesting no restrictive or obstructive patterns. Compared with the sex- and age-matched normal German population, patients who underwent VBPP displayed a similar physical component summary score and a significantly decreased mental component summary score. Interestingly, comparison of the SF-36 domains between the VBPP and CT groups showed no statistical difference. Conclusion: VBPP is a suitable surgical treatment for PSP, with no apparent adverse impacts on pulmonary or physical function. However, psychological distress and measures to counteract its impact should be considered.
format article
author Stephen Fung
Hany Ashmawy
Anja Schauer
Martin Eichler
Sami Safi
Levent Dizdar
Alexander Rehders
Wolfram Trudo Knoefel
Georg Fluegen
author_facet Stephen Fung
Hany Ashmawy
Anja Schauer
Martin Eichler
Sami Safi
Levent Dizdar
Alexander Rehders
Wolfram Trudo Knoefel
Georg Fluegen
author_sort Stephen Fung
title Does Video-Assisted Thoracoscopic Surgery with Bullectomy and Partial Pleurectomy for Primary Spontaneous Pneumothorax Impair Health-Related Quality of Life and Pulmonary Function?
title_short Does Video-Assisted Thoracoscopic Surgery with Bullectomy and Partial Pleurectomy for Primary Spontaneous Pneumothorax Impair Health-Related Quality of Life and Pulmonary Function?
title_full Does Video-Assisted Thoracoscopic Surgery with Bullectomy and Partial Pleurectomy for Primary Spontaneous Pneumothorax Impair Health-Related Quality of Life and Pulmonary Function?
title_fullStr Does Video-Assisted Thoracoscopic Surgery with Bullectomy and Partial Pleurectomy for Primary Spontaneous Pneumothorax Impair Health-Related Quality of Life and Pulmonary Function?
title_full_unstemmed Does Video-Assisted Thoracoscopic Surgery with Bullectomy and Partial Pleurectomy for Primary Spontaneous Pneumothorax Impair Health-Related Quality of Life and Pulmonary Function?
title_sort does video-assisted thoracoscopic surgery with bullectomy and partial pleurectomy for primary spontaneous pneumothorax impair health-related quality of life and pulmonary function?
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/bf6e9e32b41d4b7a90bd816f5f3bc0f6
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