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Thoracoscopic stapled bullectomy supported by suturing.

A Yamaguchi·M Shinonaga·S Tatebe·T Souma·M Tsuchida·A Saito
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Abstract

In 1985, a thoracoscopic technique for closing bullae with hemostatic clips was developed. However, the method was limited, and therefore clinical application was small. A linear endoscopic stapler (Endo-GIA) was developed in 1990. The advent of the Endo-GIA nearly made thoracoscopic treatment of spontaneous pneumothorax practicable, and ended the use of clipping. In addition, a new operative technique was developed, the 3-cm minithoracotomy bullectomy for the treatment of spontaneous pneumothorax. This technique has now become obsolete. The current method is that of a thoracoscopic stapled bullectomy using the Endo-GIA, supported by suturing. The recurrence rate was 2.7% (1/37) using this method. The one recurrence occurred in a case where no bullae were observed during the operation. Our findings suggest that thoracoscopic stapled bullectomy supported by suturing is a practicable treatment of spontaneous pneumothorax. An economical use of the endoscopic stapler and complementary suturing may be less expensive than using a laser. Pleurodesis should be performed in the patients in whom no distinct bullae are discovered thoracoscopically.

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HumansLungPneumothoraxRecurrenceSurgical StaplersSuture TechniquesThoracoscopyThoracotomyJournal ArticleResearch Support, Non-U.S. Gov't

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A Yamaguchi, M Shinonaga, S Tatebe, T Souma, M Tsuchida, A Saito. 1993. Thoracoscopic stapled bullectomy supported by suturing.. https://doi.org/10.1016/0003-4975(93)90954-g

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