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Video-assisted blebectomy using a flexible scope and a bleb implement.

Abstract

We describe herein our new technique of performing video-assisted thoracic surgery (VATS) using a flexible scope and a bleb implement which allows for a reduction in the risk of overlooking small and flat blebs in patients with a spontaneous pneumothorax (SP). This technique was performed in 26 consecutive patients with a SP. A skin incision about 18 mm long was made in the area over which the patients had specified preoperatively, and meticulous observation of the apex and superior segment was performed using a bleb implement. Partial pneumonectomy with endoscopic staplers and laser ablation were carried out for pleural lesions. We found that VATS combined with a flexible scope and a bleb implement resulted in better visibility for detection and removal of any small and flat blebs.

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BibTeXRIS

H Yamamoto, M Okada, A Kanehira, S Tachibana, H Saito, Y Maniwa, K Sakata, F Shibagaki, S Matsuda, M Kawamura. 2000. Video-assisted blebectomy using a flexible scope and a bleb implement.. https://doi.org/10.1007/s005950050052

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