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The Journal of Thoracic and Cardiovascular Surgery, Vol 105, 84-88, Copyright © 1993 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Thoracoscopic pleurectomy for treatment of complicated spontaneous pneumothorax

RG Inderbitzi, M Furrer, H Striffeler and U Althaus
Department of Thoracic and Cardiovascular Surgery, University of Berne, Switzerland.

This report describes a thoracoscopic approach for performing parietal pleurectomy. We have developed and used this technique successfully in 12 patients for treatment of recurrent spontaneous pneumothorax with extended bullous lung alterations (stage 4 according to the classification of Vanderschueren). For this purpose we need videoendoscopy and specially designed equipment, including pliable silicone trocars and angled instruments. The mean age of the patients was 38 years; no deaths and no complications occurred. The average period of postoperative hospitalization was 3.3 days. During the follow- up period ranging between 5 and 10 months (mean 7.5), no relapsing pneumothorax was observed.


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