title: [TV-assisted thoracoscopic surgery with a lung forceps combined with thoracoscope under local anesthesia for spontaneous pneumothorax with a persistent air leak--a single access port approach].
abstract: TV-assisted thoracoscopic surgery was performed under local anesthesia by through a single access port to control a continuing air leak in spontaneous pneumotorax. A 75-year-old man was admitted with severe dyspnea and right-sided chest pain. The chest X-ray film showed right lung collapse. A right spontaneous pneumothorax was diagnosed and was treated by chest tube drainage. However, the lung did not re-expand because of a continuing air leak and subcutaneous emphysema developed. TV-assisted thoracoscopic surgery was performed under local anesthesia to treat the persistent air leak on day 12. By endoscopy, the ruptured bulla was double-ligated with an Endoloop through a single access port using lung forceps combined with endoscope. The air leak subsequently ceased and the lung re-expanded. This method is minimally invasive and is very suitable for controlling a continuing air-leak causing spontaneous pneumothorax in a patient.
authors.affiliation: Department of Chest Diseases and Thoracic Surgery, Kansai Denryoku Hospital, Osaka, Japan.
authors.forename: M
authors.initials: M
authors.lastname: Kuwabara
authors.forename: T
authors.initials: T
authors.lastname: Takata
authors.forename: K
authors.initials: K
authors.lastname: Matsuoka
authors.forename: K
authors.initials: K
authors.lastname: Itoi
mesh_terms: D000368:Aged; D000388:Air; D000772:Anesthesia, Local; D004322:Drainage; D006801:Humans; D008297:Male; D011030:Pneumothorax / Q000601:surgery*; D013525:Surgical Instruments; D020708:Thoracoscopes