Department of Thoracic Surgery, Saiseikai Central Hospital, Tokyo, Japan.
World J Emerg Surg. 2008 Jul 21;3:23. doi: 10.1186/1749-7922-3-23.
Spontaneous pneumothorax is usually caused by the rupture of subpleural blebs/bullae in the underlying lung and is one of the most common elective applications of video-assisted thoracoscopic surgery (VATS). VATS has been used as an alternative to thoracotomy in the treatment of spontaneous pneumothorax. Recurrent pneumothorax and persistent air leakage are quite often indications for spontaneous pneumothorax, and bilateral spontaneous pneumothorax is also considered to be an indication for surgical intervention. The goals of surgical intervention are to eliminate intrapleural air collection and prevent recurrence. Diverse procedures have been reported in the surgical treatment for spontaneous pneumothorax. We review the literature regarding the VATS approach for spontaneous pneumothorax.
自发性气胸通常是由肺下胸膜下疱/大疱破裂引起的,是电视辅助胸腔镜手术(VATS)最常见的选择性应用之一。VATS 已被用作治疗自发性气胸的胸腔切开术的替代方法。复发性气胸和持续漏气是自发性气胸的常见指征,双侧自发性气胸也被认为是手术干预的指征。手术干预的目的是消除胸腔内积气并防止复发。在自发性气胸的手术治疗中已经报道了多种方法。我们回顾了有关 VATS 治疗自发性气胸的文献。