Summary
Thoracoscopic surgery is decidedly expanded by the ability to perform pulmonary wedge resections of the lung by using the Endo-GIA-stapler. In addition to thoracoscopic biopsies, since July 1991 we have carried out wedge resections in 12 patients suffering from spontaneous pneumothorax (nine) or peripheral bronchial carcinoma (three). Postoperatively one air fistula persisted over 9 days. The chest tube was removed within 48 h in all other patients. There was no other major complication. The postoperative hospitalization period lasted 4.6 days (1–9 days). Operating time was 44 min (30–70 min). The benefit for the patient consists in the little-impaired breathing mechanics, the short hospital stay, and the favorable cosmetic result.
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References
Becker HP, Weidringer JW, Willy C, Hartel W, Blümel G (1991) Licht- und rasterelektronenmikroskopische Untersuchung der Pleura. Ein Beitrag zur formalen Genese des Spontanpneumothorax beim jungen Menschen. Langenbecks Arch Chir 376:295–301
Boniface E, Guerin JC (1989) Intérêt du talcage par thoracoscopie dans le traitement symptomatique des pleurésies récidivantes. A propos de 302 cas. Rev Mal Resp 6:133–139
Boutin C (1990) Thoracoscopy in the diagnosis and treatment of spontaneous pneumothorax. In: Boutin C, Viallat JR, Aelony Y (ed) Practical thoracoscopy. Springer-Verlag, Berlin, Heidelberg, New York, pp 73–81
Brandt HJ, Loddenkemper R, Mai J (1983) Pneumothoraxanlage. In: Brandt HJ, Loddenkemper R, Mai J (ed) Atlas der diagnostischen Thorakoskopie. Thieme, Stuttgart, New York, pp 18–23
Brandt HL, Mai J (1971) Differentialdiagnose des Pleuraergusses durch Thorakoskopie. Pneumologie 145:192–203
Branscheid D, Trainer S, Bülzebruck H, Vogt-Moykopf I (1988) Ergebnisse chirurgischer Therapie beim Spontanpneumothorax. Langenbecks Arch Chir 2 (Suppl):505–509
Gaensler EA (1956) Parietal pleurectomy for recurrent spontaneous pneumothorax. Surg Gynecol Obstet 102:293–308
Guerin JC, Champel F, Biron E, Kalb JC (1985) Talcage pleural par thoracoscopie dans le traitement du pneumothorax. Etude d'une série de 109 cas traités en 3 ans. Rev Mal Resp 2:25–29
Inderbitzi R, Althaus U (1990) Therapeutic thoracoscopy, a new surgical technique. Thorac Cardiovasc Surgeon 39(Suppl):89
Inderbitzi R, Furrer M, Althaus U (1991) Die thorakoskopische Behandlung des Spontanpneumothorax durch chirurgischen Leckverschluss. Schweiz Med Wschr 121 (Suppl 36):18
Inderbitzi R, Molnar J (1990) Erfahrungen in der diagnostischen und operativen Video-Endoskopie des Thoraxraumes. Schweiz Med Wschr 120:1965–70
Nacleiro E, Langer L (1947) Pulmonary cysts: special reference to surgical treatment of emphysemateous blebs an bullae. Surgery 22:516
Shields TW (1989) Carcinoma of the lung. In: Shields TW (ed) General thoracic surgery. Lea and Febiger, Philadelphia, London, pp 890–943
Torre M, Belloni P (1989) Nd. YAG Laser pleurodesis through thoracoscopy: New curative therapy in spontaneous pneumothorax. Ann Thorac Surg 47:887–889
Vanderschueren RG (1981) Le talcage pleural dans le pneumothorax spontan. Poumon-Coeur 37:273–327
Wakabayashi A (1989) Thoracoscopic ablation of blebs in the treatment of recurrent or persistent spontaneous pneumothorax. Ann Thorac Surg 48:651–653
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Inderbitzi, R., Furrer, M., Klaiber, C. et al. Thoracoscopic wedge resection. Surg Endosc 6, 189–192 (1992). https://doi.org/10.1007/BF02210879
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DOI: https://doi.org/10.1007/BF02210879