Video-assisted Thoracoscopic Surgery for Bilateral Spontaneous Pneumothorax in Supine Position: The Use of a Pillow beneath the Back for Intercostal Space Widening

We performed a single stage video-assisted thoracoscopic surgery for bilateral spontaneous pneumothorax in the supine position with both arms abduced and the back slightly elevated using a pillow. While intercostal spaces were not open enough to insert a trocar, this procedure, not requiring the trouble of placing patients in the lateral decubitus position, is beneficial for the single treatment of bilateral thoracic discase.

Video-assisted thoracoscopic surgery - Bilateral spontaneous pneumothorax - Supine position

References

• 1 Nathanson L K, Shimi S, Wood R AB, Cuschieri A. Videothoracoscopic ligation of bullae and pleurectomy for spontaneous pneumothorax.  Ann Thorac Surg.. 1991;  52 316-9
• 2 Melvin W S, Krasna M J, McLaughlin J S. Thoracoscopic management of spontaneous pneumothorax.  Chest.. 1992;  102 1875-6
• 3 Waller D A, Forty J, Yoruk Y, Dark J H, Morritt G N. Videothoracoscopy in the treatment of spontaneous pneumothorax: an initial experience.  Ann R Coll Surg Engl.. 1993;  75 237-40
• 4 Inderbitzi R GC, Leiser A, Furrer M, Althaus U. Three years' experience in video-assisted thoracic surgery (VATS) for spontaneous pneumothorax.  J Thorac Cardiovasc Surg.. 1994;  107 1410-5
• 5 Yim A P, Ho J K. Paradoxical embolism as a cause of ischemic stroke of uncertain etiology.  Surg Endosc.. 1995;  9 332-6
• 6 Mouroux J, Elkaïm D, Padovani B. et al . Video-assisted thoracoscopic treatment of spontaneous pneumothorax: technique and results of one hundred cases.  J Thorac Cardiovasc Surg.. 1996;  112 385-91
• 7 Koshino T, Inoue N, Abe T. Video-assisted thoracoscopic surgery for simultaneous bilateral spontaneous pneumothorax coexistent with diaphragmatic disorder.  Ann Thorac Cardiovasc Surg.. 1998;  4 280-2

Received for Publication: December 7, 1999