{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T22:29:33Z","timestamp":1773268173663,"version":"3.50.1"},"reference-count":24,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2009,2,21]],"date-time":"2009-02-21T00:00:00Z","timestamp":1235174400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001868","name":"National Science Council","doi-asserted-by":"publisher","award":["NSC 94\u20102314\u2010B\u2010182A\u2010190"],"award-info":[{"award-number":["NSC 94\u20102314\u2010B\u2010182A\u2010190"]}],"id":[{"id":"10.13039\/501100001868","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001868","name":"National Science Council","doi-asserted-by":"publisher","award":["95\u20102314\u2010B\u2010182A\u2010018"],"award-info":[{"award-number":["95\u20102314\u2010B\u2010182A\u2010018"]}],"id":[{"id":"10.13039\/501100001868","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100012553","name":"Chang Gung Memorial Hospital","doi-asserted-by":"publisher","award":["CMRP\u201032113"],"award-info":[{"award-number":["CMRP\u201032113"]}],"id":[{"id":"10.13039\/100012553","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100012553","name":"Chang Gung Memorial Hospital","doi-asserted-by":"publisher","award":["CMRP\u2010350121"],"award-info":[{"award-number":["CMRP\u2010350121"]}],"id":[{"id":"10.13039\/100012553","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2009,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The benefit of bullae ablation for the management of primary spontaneous pneumothorax (PSP) has been established. However, various modalities for bullae ablation have been reported from different centers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>The present study aimed to assess whether endoloop ligation of bullae was as effective as staple bullectomy for preventing the recurrence of pneumothorax.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between January 1993 and December 2003, 226 patients (203\u00a0men and 23 women) with PSP were recorded and retrospectively reviewed. One hundred thirty (57.5%) patients were treated with endoloop ligation of bullae and the other 96 (42.5%) were treated with staple bullectomy. Mechanical abrasion was performed in all patients after bullae ablation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The recurrence rate of pneumothorax was 6.2% (8 patients) in the endoloop ligation group and 17.7% (17 patients) in the staple bullectomy group (<jats:italic>p<\/jats:italic> = 0.006). The postoperative complication rate was 14.6 and 20.8% in the endoloop ligation and staple bullectomy groups, respectively (<jats:italic>p<\/jats:italic> = 0.221). The long\u2010term chest discomfort rate after endoloop ligation and staple bullectomy was 14.6 and 13.5%, respectively (<jats:italic>p<\/jats:italic> = 0.819)<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Endoloop ligation of bullae is as effective as mechanical staple bullectomy for the management of bullae in primary spontaneous pneumothorax.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-009-9928-2","type":"journal-article","created":{"date-parts":[[2009,2,20]],"date-time":"2009-02-20T21:39:19Z","timestamp":1235165959000},"page":"938-942","source":"Crossref","is-referenced-by-count":12,"title":["Bullae Ablation in Primary Spontaneous Pneumothorax"],"prefix":"10.1002","volume":"33","author":[{"given":"Yun\u2010Hen","family":"Liu","sequence":"first","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Chang Gung Memorial Hospital Chang Gung University 5, Fu\u2010Shing Street, Guei\u2010Shan Shiang 333 Tao\u2010Yuan Taiwan, 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