胸腔鏡を用いた気胸手術の検討

概要

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To assess the effect of thoracoscopic operation for spontaneous pneumothorax, we treated 29 patients with spontaneous pneumothorax by clipping, looping or bullectomy via thoracoscopy. We performed clipping with endo-clips in 6 patients, looping with endo-loops in 1 patient and bullectomy or partial lobectomy with endo-GIA in 16 patients. In 6 patients whose bulla or region of air leak could not be detected along with thoracoscopic operation, we added 3 cm mini-thoracotomy.<BR>Clipping with endo-clips was effective for bullae with narrow necks. Bullectomy or partial lobectomy with endo-GIA was most effective and reliable for bullae with broad necks.<BR>One advantage of this operation is the reduction of post thoracotomy pain. When performed along with mini-thoracotomy, thoracoscopic operation is useful in treating patients with any type of bullae.
特定非営利活動法人日本呼吸器外科学会の論文