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Diagnostic and Therapeutic Endoscopy
Volume 1 (1995), Issue 3, Pages 165-168

Thoracoscopic Surgical Treatment of Spontaneous Pneumothorax: Selection of Surgical Therapy According to Thoracoscopic Findings

Department of Surgery, Sasebo Chuo Hospital, 4–5, Tonoo Cho, Nagasaki, Sasebo 857, Japan

Received 21 February 1994; Accepted 15 August 1994

Copyright © 1995 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


We report our experience with thoracoscopy used for the treatment of spontaneous pneumothorax and idiopathic emphysematous bullae. Fifty-one patients with pneumothorax were admitted to the hospital and received a pleurography and CT scanning before thoracoscopy. End-GIA resection or end-loop ligation were used alone or in combination, with or without laser coagulation. Only one patient developed recurrent pneumothorax, whereas another required repeated resection. Our results indicate that surgical treatment of pneumothorax using thoracoscopy results in a rapid expansion of the lung, minimum postoperative pain, early hospital discharge, and return of normal activity.