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The clinical characteristics and surgical results of smoking-related young pneumothorax

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Abstract

Objective

Primary spontaneous pneumothorax is a common disease that develops in relatively young healthy patients. Although smoking is generally believed to have a negative effect on the lungs, some authors reported that smokers with primary spontaneous pneumothorax had significantly lower postoperative recurrence rates than nonsmokers. This unexpected result suggests that primary spontaneous pneumothorax is classified into two categories: smoking-related young pneumothorax and residual primary spontaneous pneumothorax. We compared these two categories to determine their characteristics and corresponding surgical results.

Methods

Between January 2009 and December 2018, we enrolled 267 consecutive cases that underwent first surgery for primary spontaneous pneumothorax in our hospital. A total of 252 eligible cases (211 residual primary spontaneous pneumothorax and 41 smoking-related young pneumothorax) underwent evaluation. Smoking-related young pneumothorax cases were defined as cases with characteristic HRCT findings and smoking habit.

Results

The mean ages for the residual primary spontaneous pneumothorax and smoking-related young pneumothorax groups were 25.9 ± 13.1 and 30.5 ± 6.9 years, respectively. The groups included 186 (88.2%) and 41 (100.0%) men, and the mean body mass indices were 19.1 ± 2.2 and 20.0 ± 1.9, respectively. Fifty-nine (28.0%) and 41 (100.0%) subjects were smokers, and there were 43 (20.4%) and 1 (2.4%) cases of postoperative recurrence, respectively. These results were significantly different between the two groups.

Conclusions

Individuals with smoking-related young pneumothorax were older, predominantly men, and had higher body mass index and significantly lower postoperative recurrence rates than those with residual primary spontaneous pneumothorax.

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Acknowledgements

The authors thank Hiroaki Oue, Yoshihisa Watanabe, and Toru Ono for assistance with surgery.

Funding

None declared.

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Authors and Affiliations

  1. Department of Thoracic Surgery and Pneumothorax Center, Takasago Municipal Hospital, 33-1 Kamimachi, Arai Town, Takasago, 676-8585, Hyogo, Japan

    Kenji Tsuboshima, Yasumi Matoba & Teppei Wakahara

  2. Department of Thoracic Surgery, Akashi Medical Center, Akashi, Japan

    Takahiro Uchida

  3. Department of Thoracic Surgery, Japanese Red Cross Okayama Hospital, Okayama, Japan

    Shigeharu Moriyama

Authors
  1. Kenji Tsuboshima
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  2. Yasumi Matoba
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  3. Teppei Wakahara
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  4. Takahiro Uchida
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  5. Shigeharu Moriyama
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Corresponding author

Correspondence to Kenji Tsuboshima.

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KT, YM, TW, TU, and SM have no conflict of interest.

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Tsuboshima, K., Matoba, Y., Wakahara, T. et al. The clinical characteristics and surgical results of smoking-related young pneumothorax. Gen Thorac Cardiovasc Surg 67, 1070–1074 (2019). https://doi.org/10.1007/s11748-019-01146-y

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  • DOI: https://doi.org/10.1007/s11748-019-01146-y

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