title: [Simultaneous bilateral spontaneous pneumothorax; report of a case].
abstract: Simultaneous bilateral spontaneous pneumothorax (SBSP) occurred in a 16-year-old male. He presented with severe dyspnea. Chest X-ray showed bilateral pneumothorax. Computed tomography revealed bilateral apical bullas. Chest tubes were promptly inserted bilaterally. The patient underwent single-stage bilateral video-assisted thoracoscopic surgery( VATS). Bilateral bullectomy was performed sequentially. Saline poured in to test for air leakage did not escape to the opposite pleural cavity, suggesting no pleuro-pleural communication. Post-operative course was uneventful. A bilateral single-stage VATS by a conventional lateral approach with intra-operative patient repositioning is a safe, feasible and familiar technique for treatment of SBSP.
authors.affiliation: Department of Thoracic Surgery, Sapporo Medical Center Tonan Hospital, Sapporo, Japan.
authors.forename: Tetsuyuki
authors.initials: T
authors.lastname: Okubo
authors.forename: Masaya
authors.initials: M
authors.lastname: Kawada
authors.forename: Yoshinori
authors.initials: Y
authors.lastname: Suzuki
authors.forename: Yo
authors.initials: Y
authors.lastname: Kawarada
authors.forename: Shuji
authors.initials: S
authors.lastname: Kitashiro
authors.forename: Shun-ichi
authors.initials: S
authors.lastname: Okushiba
mesh_terms: D000293:Adolescent; D006801:Humans; D008297:Male; D011030:Pneumothorax / Q000601:surgery*