Entirely thoracoscopic resection of a giant emphysematous bulla

  • Agustín Buero
  • Walter Sebastian Nardi
  • Gustavo Alejandro Lyons
  • Silvia Quadrelli
  • Domingo Javier Chimondeguy
Keywords: giant bulla, bullectomy, VATS

Abstract

A 38-year-old man with longilinear shape, smoker (38 packs/year) and no other relevant medical history was referred to our department due to the finding of left pulmonary hyperlucency on a chest x-ray. A computed tomography (CT) was performed and a giant emphysematous bulla with thin-walled partitions inside was shown that replaced almost the entire left upper lobe, The patient underwent an exploratory thoracoscopy. Intraoperatively a giant bulla was seen that initially impressed to replace the entire upper lobe. Despite the large size we decided to attempt thoracoscopic resection preserving the remaining healthy parenchyma. Bullectomy was done using linear endoscopic stapling devices. To our knowledge this is the only case with such a large bulla resected entirely by VATS.

Keywords: giant bulla, bullectomy, VATS

Author Biographies

Agustín Buero
British Hospital of Buenos Aires, Buenos Aires, Argentina
Walter Sebastian Nardi
British Hospital of Buenos Aires, Buenos Aires, Argentina
Gustavo Alejandro Lyons
British Hospital of Buenos Aires, Buenos Aires, Argentina
Silvia Quadrelli
British Hospital of Buenos Aires, Buenos Aires, Argentina
Domingo Javier Chimondeguy
British Hospital of Buenos Aires, Buenos Aires, Argentina
Published
2019-02-18
Section
Articles

Journal Identifiers


eISSN: 1937-8688