| VATS-stepwise resection of a giant bulla in an oxygen-dependent patient. | |
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MedLine Citation:
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PMID: 9950135 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We report a case of a giant bulla in a 16-year-old boy who was oxygen and wheelchair dependent. He had been diagnosed with Marfan's syndrome and had severe kyphoscoliosis. The giant bulla occupying his entire left thoracic cavity compressed the contralateral lung. Until referral to our hospital, a bullectomy had been deferred during the preceding 5 years because of his poor pulmonary function and severe chest wall deformity. The patient was considered a candidate for thoracoscopic bullectomy. A stepwise resection technique was used. First, the bulla should be emptied by aspiration or wall perforation. Second, the redundant wall of the bulla should be resected by a looped ligation without opening the cavity. Third, a stapled resection of the downsized bulla should be performed. After a successful bullectomy, his subjective symptoms and pulmonary function improved. The reduction of the bulla makes bullectomy easily and decreases the number of staplers, and reduces operating time compared with opening the bulla and suturing it. Therefore, when treating a giant bulla, we recommend a stepwise resection technique. |
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Authors:
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M Shinonaga; A Yamaguchi; K Yoshiya |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Surgical laparoscopy & endoscopy Volume: 9 ISSN: 1051-7200 ISO Abbreviation: Surg Laparosc Endosc Publication Date: 1999 Jan |
Date Detail:
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Created Date: 1999-04-05 Completed Date: 1999-04-05 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9107230 Medline TA: Surg Laparosc Endosc Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 70-3 Citation Subset: IM |
Affiliation:
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Department of Thoracic Surgery, National West-Niigata, Central Hospital, Japan. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Endoscopy / methods* Humans Lung / surgery Male Marfan Syndrome / complications* Oxygen Inhalation Therapy Pneumothorax / etiology, surgery* Pulmonary Emphysema / etiology, surgery*, therapy Surgical Stapling Thoracoscopy |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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