title: Thoracoscopic apico-posterior transmediastinal approach for bilateral spontaneous pneumothorax.
abstract: Thoracotomic, trans-sternal or thoracoscopic approaches through transmediastinal access for contralateral lung are operative alternatives for bilateral pulmonary lesions. Video-assisted thoracoscopic surgery (VATS) for spontaneous pneumothorax (PTX) is now considered as a standard approach. Herein, we report a novel method of apico-posterior transmediastinal ipsilateral approach using VATS to perform simultaneous bilateral bullectomy in two young men with simultaneous bilateral spontaneous PTX. This new VATS access is technically feasible and may mitigate postoperative pain and avoid a secondary thoracic incision.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea 93-6, Ji-dong Paldal-gu, Suwon, Gyeonggi-do, 442-723, South Korea. cscho@catholic.ac.kr
authors.forename: Deog Gon
authors.initials: DG
authors.lastname: Cho
authors.forename: Kyu
authors.initials: K
authors.lastname: Do Cho
authors.forename: Chul Ung
authors.initials: CU
authors.lastname: Kang
authors.forename: Min
authors.initials: M
authors.lastname: Seop Jo
mesh_terms: D000293:Adolescent; D001768:Blister / Q000150:complications / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008171:Lung Diseases / Q000150:complications / Q000473:pathology / Q000601:surgery*; D008297:Male; D008482:Mediastinum / Q000601:surgery*; D011030:Pneumothorax / Q000150:complications / Q000473:pathology / Q000601:surgery*; D013902:Radiography, Thoracic; D020775:Thoracic Surgery, Video-Assisted; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome