Article Sidebar

PDF
Date Published: 15/04/2022
Online Published: 12/04/2022
Abstract Views: 407
Views PDF: 244
DOI: https://doi.org/10.47972/vjcts.v37i.758
Issue
Vol. 37
Section
Research Article
How to Cite
Hiep, P. S. ., Dung, L. T., Hien, N. T., Thiet, T. T., Minh, T. K., & Khanh, Q. D. M. (2022). Subxiphoid uniportal VATS for bilateral bullectomy: A case report and literature review. The Vietnam Journal of Cardiovascular and Thoracic Surgery, 37, 46-57. https://doi.org/10.47972/vjcts.v37i.758

Subxiphoid uniportal VATS for bilateral bullectomy: A case report and literature review

Phan Si Hiep , Le Tien Dung, Nguyen Thanh Hien, Truong Thanh Thiet, Truong Kim Minh, Quach Do Mai Khanh

Main Article Content

Abstract

Overview: Spontaneous pneumothorax with contralateral air cyst is common in clinical practice. The most common treatment today is single-stage bilateral bullectomy by transthoracic VATS. Recently, bilateral bullectomy by subxiphoid uniport VATS is a new step. There are not many reports on this topic in the world, in Vietnam, there is no report.


Method: Based on a sergery at Pham Ngoc Thach hospital and reviewing the literature, the report aims to evaluate the performance, advantages, disadvantages of the surgery.


Result: male patient, 53 years old, spontaneous recurrent right pneumothorax, bilateral bullous lung disease on CT Scan, simultaneous bilateral bullectomy surgery by subxiphoid uniportal VATS.


Conclusion: Subxiphoid uniportal VATS bilateral bullectomy can be performed successfully provided that the surgical team is experienced in uniport VATS.

Article Details

Keywords

pneumothorax, bilateral bullous lung disease, Subxiphoid uniportal VATS

References

1. Sihoe AD, Yim AP, Lee TW, Wan S, Yuen EH, Wan IY, et al. Can CT scanning be used to select patients with unilateral primary spontaneous pneumothorax for bilateral surgery? Chest. 2000;118(2):380-3.
2. MacDuff A, Arnold A, Harvey J. Management of spontaneous pneumothorax: British Thoracic Society pleural disease guideline 2010. Thorax. 2010;65(Suppl 2):ii18-ii31.
3. Kim KS. Single-staged uniportal VATS in the supine position for simultaneous bilateral primary spontaneous pneumothorax. Journal of Cardiothoracic Surgery. 2017;12(1):1-5.
4. Fok M, Karunanantham J, Ali JM, Concina S, Jayakumar S, Peryt A, et al. Subxiphoid approach for spontaneous bilateral pneumothorax: a case report. Journal of Visualized Surgery. 2017;3.
5. Chen L, Liu F, Wang B, Wang K. Subxiphoid vs transthoracic approach thoracoscopic surgery for spontaneous pneumothorax: a propensity score-matched analysis. BMC surgery. 2019;19(1):1-4.
6. Li L, Tian H, Yue W, Li S, Gao C, Si L. Subxiphoid vs intercostal single-incision video-assisted thoracoscopic surgery for spontaneous pneumothorax: A randomised controlled trial. International Journal of Surgery. 2016;30:99-103.
7. Noh D, yoon Keum D, Park CK. Outcomes of contralateral bullae in primary spontaneous pneumothorax. The Korean journal of thoracic and cardiovascular surgery. 2015;48(6):393.
8. Chou S-H, Li H-P, Lee J-Y, Chang S-J, Lee Y-L, Chang Y-T, et al. Is prophylactic treatment of contralateral blebs in patients with primary spontaneous pneumothorax indicated? The Journal of Thoracic and Cardiovascular Surgery. 2010;139(5):1241-5.