Korean J Thorac Cardiovasc Surg.
1998 Oct;31(10):995-998.
Stapling and Suturing of Blebs and Bullae without Excision in Thoracoscopic Surgery
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, College of Medicine, Chosun University Hospital, Korea.
- 2Department of Thoracic and Cardiovascular Surgery, College of Medicine, Wonkwang University Hospital, Korea.
Abstract
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BACKGROUND: Prolonged air leak is a common complication after thoracoscopic bullectomy. MATERIALS AND METHODS: A technique is described to minimize postoperative air leak in thoracoscopic surgery for the treatment of recurrent or persistent spontaneous pneumothorax. RESULTS: A 3.5cm utility incision is made in the anterior axillary line at the level of the third intercostal space, and blebs and bullae are stapled and sutured without excision, using standard surgical instruments and stapler.
CONCLUSIONS
This technique may be useful to reduce prolonged air leak after removal of the bleb and bullous lesion, and may minimize the delayed recurrence of ipsilateral pneumothorax.
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