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- Comparative Studies Using a Rigid Thoracoscope and Fiberoptic Bronchoscope to Iteat Spontaneous Pneumothorax (7)

Comparative Studies Using a Rigid Thoracoscope and Fiberoptic Bronchoscope to Iteat Spontaneous Pneumothorax (7)Results
The results of using the outer sheath and FB method described herein on 19 patients with spontaneous pneumothorax are shown in Table 2 and in the following tabulation, listing numbers of cases (numbers within parentheses are percentages):
Successful high-frequency coagulation    8 (42)
Successful the first time    1
Recurrence after improvement following coagulation; repeat coagulation    1
Healed after fibrinogen and thrombin injection and spray    7 (37)
Recurrence after high-frequency coagulation; fibrinogen and thrombin injected    1
Fibrinogen and thrombin injection into blebs    2
Fibrinogen and thrombin injection and spray    1
After high-frequency coagulation, fibrinogen and thrombin sprayed    2
Fibrinogen and thrombin sprayed    1

Thoracotomy    4 (21)
Recurrence after improvement following coagulation; surgery performed    1
No healing after high-frequency coagulation; surgery    1
Recurrence after coagulation; fibrinogen and thrombin injection; surgery performed    1
No healing after coagulation; fibrinogen and thrombin spraying; surgery performed    1
Total    19 (100)

Table 2—Results of Therapy in 19 Cases of Spontaneous Pneumothorax Using Fiberoptic Bronchoscope as Thoracoscope

Case, Sex, Age (yr) EndoscopicFindings Therapy and Results
1,F,17 One bleb at right pulmonary apex HFC; success
2,M,27 One bleb at left upper lobe HFC; success
3,F,47 One bleb on the vertical septum side of left upper lobe HFC; success
4,M,52 One bleb on back of left pulmonary apex adhesion HFC; success
5,M,37 Two blebs on right middle lobe HFC; success
6,F,21 Multiple (4) blebs on right upper lobe HFC; success
7,M,32 Extensive blebs on back of right upper lobe HFC; success
8,M,24 Multiple blebs (5) at right pulmonary apex HFC; recurrent after 1 mo; HFC repeated; success
9,F,17 One bleb at left pulmonary apex; reexamination showed puncture in bleb HFC; recurrent after 8 days; Fib and Thr injected; success
10,M,21 Multiple blebs on left upper lobe HFC; recurrent after 3 mo; surgery
11,M,21 Multiple blebs on left upper lobe Did not heal with HFC; surgery
12,F,13 One giant bleb at left pulmonary apex Fib and Thr injected; success
13,M,27 Extensive blebs on right upper lobe vertical septal surface Fib and Thr injected; success
14,M,82 Right apical adhesion; multiple Fib; blebs in surrounding area; some punctures Fib and Thr injected; Fib and Thr sprayed; success
15,F,27 Multiple blebs on back of right apical adhesion After HFC, Fib and Thr sprayed; success
16,M,45 Multiple blebs on left upper lobe After HFC, Fib and Thr sprayed; success
17,M,78 Extensive blebs on right upper lobe vertical septal surface Fib and Thr spray; success
18,F,36 Two blebs on right middle lobe; 2 giant blebs on left upper and lower lobes HFC for right; Fib and Thr injected into left blebs; recurrent after 1 mo; surgery
19,M,17 Left apical adhesion; multiple blebs in surrounding area; some punctures After HFC, Fib and Thr sprayed; no healing; surgery
June 14, 2013 Rigid Thoracoscope
Tags: conservative therapies rigid thoracoscope spontaneous pneumothorax thrombin solutions