Thoracoscopic Treatment of Giant Pulmonary Bulla With Complex Conditions: Report of 32 Cases

VernacularTitle:胸腔镜治疗合并复杂情况的巨大肺大疱32例报告
Author: Jiewei HU ¹ ; Chuan ZHONG ; Xuquan YANG
Author Information

1. 四川省遂宁市中心医院胸外科
Keywords: Giant pulmonary bulla; Video-assisted thoracoscopic surgery
From: Chinese Journal of Minimally Invasive Surgery 2018;18(6):503-504,516
CountryChina
Language:Chinese
Abstract: Objective To explore the efficacy of thoracoscopic treatment of giant pulmonary bulla with complex conditions. Methods Video-assisted thoracoscopic surgery (VATS) was performed in 32 cases of giant pulmonary bulla with complex conditions in our department from September 2011 to November 2015. According to the dyspnea index of the American medical research council, there were 22 cases with distress index Ⅳ and 10 cases with distress index Ⅴ. Results All the patients underwent thoracoscopic surgery smoothly. The drainage tube was retained for 4-7 d in 17 cases, 8-14 d in 14 cases and 48 d in 1 case. The follow-up after operation was 12-18 months (mean, 16. 0 ± 3. 2 months). The dyspnea index was maintained at gradeⅠin 10 cases and gradeⅡin 22. All the patients were able to take care of themselves in daily life. Conclusion Giant pulmonary bulla with complex conditions can be treated under thoracoscopy with good surgical outcomes.