Video-assisted Thoracoscopy for Spontaneous Pneumothorax after Pneumonectomy
Heart Lung and Circulation, cilt.18, sa.4, ss.299-301, 2009 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 18 Sayı: 4
- Basım Tarihi: 2009
- Doi Numarası: 10.1016/j.hlc.2008.03.083
- Dergi Adı: Heart Lung and Circulation
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.299-301
- Anahtar Kelimeler: Pneumonectomy, Pneumothorax, VAT
- Maltepe Üniversitesi Adresli: Evet
Özet
In this paper, we present 3 patients who had previously undergone pneumonectomy and then presented with a spontaneous pneumothorax. The indication for pneumonectomy was tuberculosis and NSCLC in 2 and 1 patient, respectively. The interval between the surgery and development of pneumothorax was 2, 4, and 11 years. On admission, 2 of the 3 patients were in extreme respiratory distress requiring urgent chest tube insertion. In all patients we undertook elective video-assisted thoracoscopy with complete preparation for cardiopulmonary support on the side. Bullectomy and/or diathermy ablation for apical bullae and blebs were performed concomitantly with total parietal pleurectomy. The postoperative course was uneventful in the patients, and they remain on routine follow-up for up to 6-12 months without any complaints. Our experience suggests that emphysematous changes in the remaining lung should be carefully inspected during long-term follow-up after pneumonectomy. Video-assisted thoracoscopic (VAT) pleurectomy appears to be a good option for the management of spontaneous pneumothorax only if it is performed by a dedicated multidisciplinary team with various cardiopulmonary support facilities on the side. © 2008 Australasian Society of Cardiac and Thoracic Surgeons and the Cardiac Society of Australia and New Zealand.