Abstract
Thanks to the development and refinement of proper endoscopic surgical equipment, thoracoscopy is becoming increasingly operative, in addition to its use as a diagnostic tool. We present the indications and operative videothoracoscopic methods adopted in 11 cases of spontaneous pneumothorax with bullous emphysema. We stress the utility of computed tomography in the diagnosis, the value of the new reloadable mechanical staplers, and human fibrin glue for obtaining an apical biological pleurodesis. The technique presented obviates the need for thoracotomy and eliminates any unesthetic and postoperative pain sequelae.
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References
Jacobäus MC (1923) The cauterization of adhesions in artificial pneumothorax treatment of tuberculosis under thoracoscopic control. Proc R Soc Med 16: 45–49
Alcozer G, Dorigoni A (eds) (1984) La toracoscopia diagnostica. Nardini, Florence
Boutin C, Viallat JR, Aelony Y (eds) (1991) Practical thoracoscopy. Springer, Berlin Heidelberg New York
Weissberg D, Kaufman M (1980) Diagnostic and therapeutic pleuroscopy. Experience with 127 patients. Chest 78: 732–735
Gotti G, De Angelis P, Sacchi M, Corsi R, Lisi G, Grossi A (1987) La toracoscopia nel trattamento della fistola broncopleurica. La Chir Tor 40: 19–22
Torre M, Belloni PA (1989) Nd:Yag laser pleurodesis through thoracoscopy: new curative therapy in spontaneous pneumothorax. Ann Thorac Surg 47: 887–889
Marino M, Marcianò G, Gotti G (1989) La pleurodesi biologica con colla di fibrina umana ( Tissucol) nel trattamento conservativo del pneumotorace spontaneo. Med Tor 11: 217–221
Belloni PA, Torre M, Ravini M, Maioli M, Barbieri B, Vercelloni M (1990)13leuroscopia e Nd: Yag laser terapia: nuova alternativa terapeutica nel trattamento del pneumotorace spontaneo. La Chir Tor 43: 234–236
Kleinmann P, Levi JF, Debesse B (1991) Percutaneous parietal pleurectomy: treatment of recurrent pneumothorax by thoracic video-surgery: video presentation. Eur Respir J 4 [Suppl 14]: 541
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© 1995 Springer-Verlag Berlin Heidelberg
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Gotti, G., Paladini, P., Haid, M.M. (1995). Videothoracoscopic Bullectomy and Biological Pleurodesis in Spontaneous Pneumothorax. In: Schlag, G., Wolner, E., Eckersberger, F. (eds) Fibrin Sealing in Surgical and Nonsurgical Fields. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-79227-4_18
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DOI: https://doi.org/10.1007/978-3-642-79227-4_18
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-58381-3
Online ISBN: 978-3-642-79227-4
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