Uniportal thoracoscopic bullectomy with improved parietal pleurectomy for primary spontaneous pneumothorax

• DOI: 10.1111/crj.13722
• Publication Date: 2023-12-03T22:33:40Z
• Authors: Ningning Kang; Hao Zheng; Wei Ge; Jin‐Xiu Hu; Wen Liu; Ren‐Quan Zhang
• Keywords: Pleurectomy; Parietal Pleura; Cardiothoracic surgery

Parietal pleurectomy with bullectomy has been established as an effective method for preventing the recurrence of primary spontaneous pneumothorax (PSP). Our center introduced enhanced technical measures in uniportal thoracoscopic parietal patients PSP, aiming to document our initial experience and assess procedure's effectiveness PSP.We analyzed clinical data 86 PSP who underwent improved between July 2019 August 2022. During procedure, pleura above second intercostal space was stripped but not removed. Instead, it retained thoracic cavity using a piece pedunculated pleura. Subsequently, stumps lung were covered by preserved pleura.The results study showed that mean operative time 59.87 ± 16.93 min, postoperative drainage duration averaged 3.94 2.17 days. The intraoperative blood loss 24.33 48.91 ml, volume 289.00 170.03 ml. Prolonged air leakage more than 5 days observed five (5.81%), no other complications recorded. follow-up, one patient (1.16%) experienced pneumothorax.The perioperative technique are deemed satisfactory. various steps attempted at found be feasible safe, they may contribute reducing rates PSP.