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Ann Thorac Surg 1991;52:316-319
© 1991 The Society of Thoracic Surgeons

Articles

Videothoracoscopic ligation of bulla and pleurectomy for spontaneous pneumothorax

Leslie K. Nathanson, FRACS, Sami M. Shimi, FRCS, Robert A.B. Wood, FRCS, Alfred Cuschieri, FRCS*

Department of Surgery, Ninewells Hospital and Medical School, University of Dundee, Dundee, Scotland

Accepted for publication February 26, 1991.

* Address reprint requests to Prof Cuschieri, Department of Surgery, Ninewells Hospital and Medical School, University of Dundee, Dundee, Scotland, DD1 9SY.

A thoracoscopic technique to ligate pleural bullae and perform parietal pleurectomy is described. The procedure has been performed on 2 patients, allowing definitive treatment of recurrent spontaneous pneumothoraces. Both patients have been cured of their problem and benefited from the decreased trauma of access by reduced postoperative pain, rapid recovery, and decreased scarring of the skin.




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