Rusca M, Spaggiari L, Carbognani P, Cattelani L, Endrizzi C, Bobbio P
Istituto di Clinica Chirurgica Generale, Toracica e Vascolare, Università degli Studi di Parma.
Acta Biomed Ateneo Parmense. 1992;63(3-4):259-62.
In the period between May and October 1992 we have admitted in our department 14 patients (M/F: 11/3) with recurrent spontaneous pneumothorax, being the entity more than 40% in 8 of them. All the patients were treated with video-assisted thoracoscopic pleurectomy, beginning from the 2nd to the 6th rib, completing by abrasing the further ribs below. Whenever the causative bullae or blebs were found, those were resect using and endoGIA. At the end of the procedure a pleural drain (no. 24) was positioned and maintained on suction until a complete lung reexpansion was ensured for at least a couple of days. Neither postoperative nor delayed complications and no recurrences have been observed. Our results of such an approach, once indicated the pleurodesis for the treatment of spontaneous pneumothorax, are undoubtedly encouraging both for the technical simplicity and the reduction in hospitalization time.
1992年5月至10月期间，我们科室收治了14例复发性自发性气胸患者（男/女：11/3），其中8例该疾病占比超过40%。所有患者均接受了电视辅助胸腔镜胸膜切除术，从第2肋至第6肋开始，通过磨除下方的肋骨完成手术。一旦发现导致气胸的肺大疱或肺小疱，使用内镜切割吻合器将其切除。手术结束时，放置一根24号胸腔引流管并持续吸引，直到确保肺完全复张至少两天。未观察到术后并发症或延迟并发症，也未出现复发情况。我们这种治疗方法的结果，一旦表明胸膜固定术可用于治疗自发性气胸，无疑因其技术简单性和住院时间的缩短而令人鼓舞。
