Abstract
This report outlines our experience of 6 patients who underwent video-assisted thoracic surgery (VATS) using a linear endoscopic stapler to remove a giant bulla from the lung. Successful treatment with VATS was carried out in 4 patients, but the procedure needed to be changed to a thoracotomy in 2 patients — in one because of difficulty in single-lung ventilation, and in the other, due to a persistent air leak. Thus, we conclude that giant bulla without any associated severe respiratory failure can be an indication for VATS.
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Yamaguchi A, Shinonaga M, Tatebe S, Souma T, Tsuchida M, Saitoh A (1993) Thoracoscopic stapled bullectomy supported by suturing. Ann Thorac Surg 56:691–693
Yamaguchi A, Takizawa T, Saitoh A, Tsuchida M, Nakayama K, Moro H (1991) Resection of bulla thorough a 3-cm minithoracotomy in young patients with pneumothorax (in Japanese with English abstract). Nippon Kokyuuki Geka Gakkai Zasshi (J Jpn Assoc Chest Surg) 5:451–457
Wakabayashi A (1989) Thoracoscopic ablation of bleb in the treatment of spontaneous pneumothorax. Ann Thorac Surg 48:651–653
Nathason LK, Shimi SM, Wood RAB, Cuschieri A (1991) Videothoracoscopic ligation of bulla and pleurodectomy for spontaneous pneumothorax. Ann Thorac Surg 52:316–319
Melvin WS, Krasna MJ, McLaughlin JS (1992) Thoracoscopic management of spontaneous pneumothorax. Chest 102:1875–1876
Waller DA, Forty J, Soni AK, Conacher ID, Morritt GN (1994) Videothoracoscopic operation for secondary spontaneous pneumothorax. Ann Thorac Surg 57:1612–1615
Inderbitzi RGC, Leiser A, Furrer M, Althaus U (1992) Three years' experience in video-assisted thoracic surgery (VATS) for spontaneous pneumothorax. J Thorac Cardiovasc Surg 107:1410–1415
Coosemans W, Lerut TE, Van Raemdonck DEM (1993) Thoracoscopic surgery: The Belgian experience. Ann Thorac Surg 56:721–730
Macarthur AM, Fountain SW (1977) Intracavity suction and drainage in the treatment of emphysematous bullae. Thorax 32:668–672
Uyama T, Monden Y, Harada K, Kimura S, Taniki T (1989) Drainage of giant bulla with balloon catheter using chemical irritant and fibrin glue. Chest 94:1289–1290
Takeno Y (1993) Thoracoscopic treatment of spontaneous pneumothorax Ann Thorac Surg 56:688–690
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Tsuchida, M., Nakayama, K., Shinonaga, M. et al. Video-assisted thoracic surgery for thorascopic resection of giant bulla. Surg Today 26, 349–352 (1996). https://doi.org/10.1007/BF00311605
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DOI: https://doi.org/10.1007/BF00311605