Novel method for bulla detection with video-assisted thoracoscopic surgery in patients with spontaneous pneumothorax.
Detection of bullae is usually performed during lung inflation with an inspiratory hold in collaboration with anesthetists (conventional method). One cause leading to recurrent pneumothorax is failure to detect the position and extent of bullae under the conventional method. We herein present a novel method for detecting bullae under negative intrathoracic pressure, enabling exploration in the narrow cupola space without lung inflation.
Kawachi
Riken
R
Department of Surgery (Thoracic Surgery Division), Kyorin University, Mitaka-Shi, Tokyo, Japan. rkawachi@kpe.biglobe.ne.jp <rkawachi@kpe.biglobe.ne.jp>
Takei
Hidefumi
H
Koshi-Ishi
Yoshihiko
Y
Goya
Tomoyuki
T
D006801:Humans; D011030:Pneumothorax / Q000150:complications / Q000601:surgery*; D011656:Pulmonary Emphysema / Q000150:complications / Q000175:diagnosis*; D055502:Secondary Prevention; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods*