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Federico Venuta
Tiziano De Giacomo
Erino A. Rendina
Costante Ricci
Giorgio Furio Coloni
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Ann Thorac Surg 1998;66:1833-1834
© 1998 The Society of Thoracic Surgeons

How to Do It

Thoracoscopic pleural tent

Federico Venuta, MDa, Tiziano De Giacomo, MDa, Erino A. Rendina, MDa, Costante Ricci, MDa, Giorgio Furio Coloni, MDa

a Department of Thoracic Surgery, University of Rome "La Sapienza", Rome, Italy

Accepted for publication June 11, 1998.

Address reprint requests to Dr Venuta, Cattedra di Chirurgia Toracica, Policlinico Umberto I, University of Rome "La Sapienza", V.le del Policlinico, 00100 Rome, Italy
e-mail: (fevenuta{at}tin.it)

Lung volume reduction has been performed in patients with advanced emphysema to relieve dyspnea and improve exercise tolerance. Median sternotomy and video-assisted thoracoscopy have been proposed as equally adequate approaches; however, prolonged postoperative air leakage is the most prevalent complication in all series. For this reason, on the basis of the experience achieved with the median sternotomy approach, buttressing of the suture line with different materials and techniques for space reduction have been proposed. We describe a technique to create a pleural tent after thoracoscopic volume reduction. The thoracoscopic creation of a pleural tent is feasible and results in a duration of postoperative air leaks and hospital stays similar to that achieved with stapler line buttressing.




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