Analysis of Recurrence and Influencing Factors of Spontaneous Pneumothorax After Thoracoscopic Surgery

Abstract

This study was conducted to explore the factors that are influencing the recurrence of spontaneous pneumothorax after thoracoscopic surgery. Around 110 patients with spontaneous pneumothorax who underwent thoracoscopic bullectomy in Hebei Hospital from May 2017 to May 2021 were included in this study. The patients were divided into the recurrence group (15 cases) and the non-recurrence group (95 cases), and the influences of gender, age, smoking history, height, weight, operation time, the weight of the excised tissue, number of excised pulmonary bullae, postoperative chest tube maintenance time, duration of air leakage, and length of hospital stay on the recurrence of spontaneous pneumothorax after thoracoscopic surgery were investigated. This study found that the height/weight, operation time, duration of air leakage, number of pulmonary bullae removed, weight of the removed tissue, postoperative chest tube maintenance time, and duration of hospital stay in the recurrence group was 3.2 ± 0.4, 50.9 ± 1.2, 2.1 ± 0.4, 1.6 ± 0.2, 4.2 ± 1.3, 2.4 ± 1.5 and 7.2 ± 1.5, respectively. Meanwhile, the recurrence group was 2.6 ± 0.3, 50.8 ± 1.3, 1.3 ± 0.2, 1.8 ± 0.9, 4.4 ± 1.2, 4.1 ± 1.7 and 6.9 ± 1.6, respectively. After comparing the relevant factors between the recurrence group and the non-recurrence group, it was found that there was comparability between age, height/weight, duration of air leakage and postoperative chest tube maintenance time, where these factors were shown to affect the recurrence of spontaneous pneumothorax after thoracoscopic surgery, while gender, smoking, operation time, number of resected bullae, weight of resected tissue and length of hospital stay had no effect on recurrence after spontaneous pneumothoracoscopic surgery. In short, thoracoscopic bullectomy is the best clinical treatment for spontaneous pneumothorax, however the occurrence of recurrence of spontaneous pneumothorax after the operation, which is mainly influenced by the patient’s height/weight, postoperative air leakage duration, and chest tube maintenance time. Therefore, it is essential to pay attention to the surgical treatment of the patients, and fully identify the related factors of postoperative recurrence, thereby the follow-up clinical treatment can be carried out effectively.