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  • Title: Bilateral open treatment of spontaneous pneumothorax: a new access.
    Author: Nazari S, Buniva P, Aluffi A, Salvi S.
    Journal: Eur J Cardiothorac Surg; 2000 Nov; 18(5):608-10. PubMed ID: 11053826.
    Abstract:
    A new technique for bilateral apical bullectomy and pleurectomy via axillary minithoracotomy and transmediastinal access to the contralateral side, was used in 13 patients with bilateral apical blebs and/or pneumothorax. The contralateral space is reached at the posterior superior mediastinum, passing between the first thoracic vertebral bodies (T1-T4) and the oesophagus. The contralateral lung apex is then pulled into the thoracotomy side and apical bullectomy carried out by linear stapler. The obvious advantages of avoiding a second thoracotomy while providing complete solution to the clinical problem are particularly important in young patients with spontaneous pneumothorax caused by bilateral apical blebs.
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