Mouroux J, Benchimol D, Bernard J L, Rotomondo C, Chavaillon J M, Pulcini A, Blaive B, Bourgeon A, Richelme H
Service de Chirurgie abdominale et thoracique, Hôpital Pasteur, Nice.
Presse Med. 1992 Jun 20;21(23):1079-82.
Between May and December 1991, 12 patients with spontaneous pneumothorax were treated surgically, using video-thoracoscopy. With this technique bullous lesions could be excised in 10 cases and pleurodesis could be performed in all patients. Morbidity and mortality were nil. The cosmetic and functional advantages of video-thoracoscopy were obvious. Long-term results remain to be evaluated. This technique has shown that it is possible in all cases to create pleurodesis (pleural poudrage or pleurectomy) and to treat parenchymatous lesions (excision of bullous systems). This suggests that the long-term results will be the same as those obtained with conventional surgery.
1991年5月至12月期间,12例自发性气胸患者接受了电视胸腔镜手术治疗。通过该技术,10例患者的大疱性病变得以切除,所有患者均可行胸膜固定术。发病率和死亡率均为零。电视胸腔镜手术在美观和功能方面的优势明显。长期效果仍有待评估。该技术已表明,在所有病例中都可以进行胸膜固定术(胸膜摩擦术或胸膜切除术)并治疗实质病变(切除大疱系统)。这表明长期效果将与传统手术相同。