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J Thorac Cardiovasc Surg 2011;142:944-945
© 2011 The American Association for Thoracic Surgery

Brief Technique Report

Awake single-access (uniportal) video-assisted thoracoscopic surgery for spontaneous pneumothorax

Gaetano Rocco, MD, FRCSEd*, Antonello La Rocca, MD, Nicola Martucci, MD, Rosanna Accardo, MD

Department of Thoracic Surgery and Oncology and the Service of Anesthesiology, National Cancer Institute, Pascale Foundation, Naples, Italy

Received for publication November 4, 2010; revisions received December 24, 2010; accepted for publication January 24, 2011.

* Address for reprints: Gaetano Rocco, MD, FRCSEd, Via Terminio 1, Serino (Avellino) 83028 Italy. (Email: Gaetano.Rocco@btopenworld.com).

The first 20% of the full text of this article appears below.


   Introduction
 

Formula Video clip is available online.

 
According to the currently available literature, consensus exists as to the management of bilateral pneumothorax through minimally invasive VATS.1Go Single-access (uniportal) video-assisted thoracoscopic surgery (VATS) can make the surgical option suitable also after the first episode of primary spontaneous pneumothorax, because it does not entail additional incisions beyond the one already in use for the chest drain.2,3Go In light of our preliminary experience with uniportal VATS wedge resection in the awake patient,4Go we also tested this approach in the case of a patient with bilateral apical bullae.


   Clinical Summary
 
A 23-year-old male patient had a recurrent spontaneous pneumothorax develop, prompting a chest computed tomographic scan. The scan demonstrated bilateral apical bullae. With general anesthesia and single-lung ventilation, the patient underwent single-access (uniportal) VATS and resection of the left upper lobe apex, along with apical pleural abrasion and . . . [Full Text of this Article]




This article has been cited by other articles:


Home page
 J. Thorac. Cardiovasc. Surg.Home page
G. Rocco
One-port (uniportal) video-assisted thoracic surgical resections--A clear advance
J. Thorac. Cardiovasc. Surg., September 1, 2012; 144(3): S27 - S31.
[Abstract] [Full Text] [PDF]


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