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Ann Thorac Surg 2008;85:1825-1827. doi:10.1016/j.athoracsur.2007.11.043
© 2008 The Society of Thoracic Surgeons
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Daniel Raymond
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How To Do It

Thoracoscopic Total Parietal Pleurectomy for Primary Spontaneous Pneumothorax

Derek P. Nathan, MDa, Nyali E. Taylor, MD, MPHa, David W. Low, MDc, Daniel Raymond, MDd, Joseph B. Shrager, MDa,b,*

a Department of Surgery, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania
b Division of Thoracic Surgery, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania
c Division of Plastic Surgery, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania
d Division of Thoracic and Foregut Surgery, University of Rochester School of Medicine, Rochester, New York

Accepted for publication November 14, 2007.

* Address correspondence to Dr Shrager, Stanford University School of Medicine, Department of Cardiothoracic Surgery, Falk Building, 2nd Floor, 300 Pasteur Drive, Stanford, CA 94305-5407 (Email: shrager{at}stanford.edu).

Although the management of spontaneous pneumothorax through a thoracotomy traditionally included apical pleurectomy, thoracoscopic treatment of this problem does not generally include pleurectomy. Thoracoscopy in fact allows excellent exposure to perform total parietal pleurectomy, and we hypothesize that including total pleurectomy will reduce recurrences. We describe here the technique of thoracoscopic total parietal pleurectomy and the early outcomes afterward.




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V. K. Kouritas, C. Hatzoglou, K. I. Gourgoulianis, and P. A. Molyvdas
Pleural electrophysiology variations according to location in pleural cavity
Interactive CardioVascular and Thoracic Surgery, September 1, 2009; 9(3): 391 - 394.
[Abstract] [Full Text] [PDF]


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