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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1993-10-18
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pubmed:abstractText |
In 1985, a thoracoscopic technique for closing bullae with hemostatic clips was developed. However, the method was limited, and therefore clinical application was small. A linear endoscopic stapler (Endo-GIA) was developed in 1990. The advent of the Endo-GIA nearly made thoracoscopic treatment of spontaneous pneumothorax practicable, and ended the use of clipping. In addition, a new operative technique was developed, the 3-cm minithoracotomy bullectomy for the treatment of spontaneous pneumothorax. This technique has now become obsolete. The current method is that of a thoracoscopic stapled bullectomy using the Endo-GIA, supported by suturing. The recurrence rate was 2.7% (1/37) using this method. The one recurrence occurred in a case where no bullae were observed during the operation. Our findings suggest that thoracoscopic stapled bullectomy supported by suturing is a practicable treatment of spontaneous pneumothorax. An economical use of the endoscopic stapler and complementary suturing may be less expensive than using a laser. Pleurodesis should be performed in the patients in whom no distinct bullae are discovered thoracoscopically.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
0003-4975
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
56
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
|
pubmed:pagination |
691-3
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:8379773-Humans,
pubmed-meshheading:8379773-Lung,
pubmed-meshheading:8379773-Pneumothorax,
pubmed-meshheading:8379773-Recurrence,
pubmed-meshheading:8379773-Surgical Staplers,
pubmed-meshheading:8379773-Suture Techniques,
pubmed-meshheading:8379773-Thoracoscopy,
pubmed-meshheading:8379773-Thoracotomy
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pubmed:year |
1993
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pubmed:articleTitle |
Thoracoscopic stapled bullectomy supported by suturing.
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pubmed:affiliation |
Department of Thoracic Surgery, National Nishi-Niigata Hospital, Japan.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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