title: [Incidence of string-like adhesion between thoracic wall and bullae observed during video-assisted thoracic surgery( VATS) for spontaneous pneumothorax].
abstract: It is not rare that string-like adhesion between lung apex and chest wall is observed during videoassisted thoracic surgery (VATS) for spontaneous pneumothorax. This adhesion may cause hemothorax which requires emergency operation, although the precise incidence of such cases is uncertain. We analyzed consecutive 120 spontaneous pneumothorax cases underwent VATS at Suzuka General Hospital from January 2005 to September 2008. Twenty-one out of 120 (17.5%) were such cases receiving partial resection of the lung including the adhesion after dividing it. Pathological study revealed the bullae close to the adhesion in all cases, suggesting that these adhesion caused after possible  former pneumothorax. Thus, 21 cases might be recurrent pneumothorax. Even in clinically 1st onset pneumothorax, those cases may be good indication for VATS.
authors.affiliation: Department of Chest Surgery, Ko-sei-ren Suzuka General Hospital, Suzuka, Japan.
authors.forename: Katsuhiko
authors.initials: K
authors.lastname: Endo
authors.forename: Ichiro
authors.initials: I
authors.lastname: Fukai
authors.forename: Daisuke
authors.initials: D
authors.lastname: Yuki
authors.forename: Osamu
authors.initials: O
authors.lastname: Kawano
authors.forename: Koutaro
authors.initials: K
authors.lastname: Mizuno
authors.forename: Hironori
authors.initials: H
authors.lastname: Tanaka
authors.forename: Syuji
authors.initials: S
authors.lastname: Zennami
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Murata
mesh_terms: D006801:Humans; D008168:Lung / Q000473:pathology; D011030:Pneumothorax / Q000473:pathology* / Q000601:surgery*; D020775:Thoracic Surgery, Video-Assisted; D035441:Thoracic Wall / Q000473:pathology*; D000267:Tissue Adhesions