title: A new perspective on the treatment of complicated giant emphysematous bulla A case report.
abstract: We report a case of 31 years-old female suffering from complicated giant bulla in the right upper pulmonary lobe. The patient was admitted to our hospital with a radiologic diagnosis of hydro - pneumothorax treated by chest tube in a first time, and later, for prolonged air leaks, by uniportal VATS with a single 4-cm skin incision. We have observed a giant ruptured bulla in right upper lobe, so we have performed bullectomy and mechanical pleurodesis. This case, in our knowledge, represents the first giant bulla resection performed by uniportal VATS.
  
  
  BACKGROUND
  Giant bulla, Giant bullous emphysema, Uniportal VATS.
authors.forename: Antonio
authors.initials: A
authors.lastname: Mazzella
authors.forename: Alessandro
authors.initials: A
authors.lastname: Izzo
authors.forename: Dario
authors.initials: D
authors.lastname: Amore
authors.forename: Francesco Saverio
authors.initials: FS
authors.lastname: Cerqua
authors.forename: Fabio
authors.initials: F
authors.lastname: Perrotta
mesh_terms: D000328:Adult; D001768:Blister / Q000000981:diagnostic imaging / Q000601:surgery*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D011013:Pneumonectomy / Q000379:methods; D011656:Pulmonary Emphysema / Q000000981:diagnostic imaging / Q000601:surgery*; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods; D016896:Treatment Outcome