Single-staged uniportal VATS in the supine position for simultaneous bilateral primary spontaneous pneumothorax

Journal of Cardiothoracic Surgery
Kyung Soo Kim

Abstract

Simultaneous bilateral primary spontaneous pneumothorax (SBPSP) is rare, but requires surgery on both sides, in patients with definite bilateral bullae to prevent life-threatening conditions. Recently, uniportal video-assisted thoracoscopic surgery (VATS) has been widely accepted as a less invasive technique for the treatment of pneumothorax. Thus, we introduced single-staged uniportal VATS technique in the supine position, for the management of two cases of SBPSP. A 17-year-old boy presented with bilateral spontaneous pneumothorax and he underwent single-staged uniportal VATS in the supine position. Single wide draping in consecutive bilateral approaches removes the needs of changing patients' position. Whole thoracoscopic procedure for wedge resection of bullae lesions was conducted without difficulty. The total operation time took 65 min and the patient discharged 3 days after the operation. The patient was followed for 24 months without recurrence of both sides. Another 18-year-old boy was admitted with bilateral spontaneous pneumothorax and single-staged uniportal VATS was also performed in the supine position. The total operation time took 79 min and the patient discharged on postoperative day 4. He was followed for 19 mo...Continue Reading

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Citations

Feb 28, 2019·Case Reports in Pulmonology·Jakrin KewcharoenNarin Sriratanaviriyakul
Nov 26, 2021·Expert Review of Respiratory Medicine·Kenji TsuboshimaKuniaki Seyama
Jan 7, 2022·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Sara UgoliniAntonino Morabito

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