Thoracoscopic 360 degree apical pleurodesis with turned-over parietal pleura

Apical pleurodesis procedures, in addition to the resection of bullae or blebs, proved to lower the recurrence rate in spontaneous pneumothoraces. Here, we describe our thoracoscopic technique of making a 360° apical pleurodesis. After resecting responsible bullae or blebs thoracoscopically, we diss...

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Bibliographic Details
Published inEuropean journal of cardio-thoracic surgery Vol. 46; no. 2; pp. 327 - 328
Main Authors Hamaji, Masatsugu, Tanaka, Toru, Tachi, Hidekazu, Ohsumi, Akihiro
Format Journal Article
LanguageEnglish
Published Germany Oxford University Press 01.08.2014
Subjects
Adolescent
Adult
Aged
Aged, 80 and over
Female
Humans
Male
Middle Aged
Pleura - surgery
Pleurodesis - methods
Pneumothorax - prevention & control
Thoracoscopy - methods
Young Adult
Pneumothorax
Thoracoscopy
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Summary:Apical pleurodesis procedures, in addition to the resection of bullae or blebs, proved to lower the recurrence rate in spontaneous pneumothoraces. Here, we describe our thoracoscopic technique of making a 360° apical pleurodesis. After resecting responsible bullae or blebs thoracoscopically, we dissect the parietal pleura off the chest wall up, turn it over on the mediastinal side, clip it on the mediastinal pleura and place the lung apex against the rough surface to promote extensive apical pleurodesis. The technique has been performed for 18 patients so far and no late recurrence of pneumothorax has been noted.
ISSN:1010-7940
1873-734X
DOI:10.1093/ejcts/ezt409