After thorough inspection of the entire lung with particular attention to the apical and basal lung fields, bullectomy is then performed utilizing linear cutting staplers.
The procedure usually constitutes a bullectomy followed by pleurectomy and pleural abrasion in the manner noted above via posterolateral thoracotomy with the patient in the lateral decubitus position.
Lung volume reduction surgery, bronchoscopic lung volume reduction, lung transplantation, and bullectomy
are surgical options for appropriately selected patients with advanced COPD.
Although some authors suggest that ruptured preexisting bullae are the causes of all spontaneous pneumothoraces, others consider recurrences after bullectomy
as evidence that ruptured bullae are not always the site of an air leak.
Apical pleurectomy together with bullectomy, apical pleural abrasion/pleurectomy and pleurodesis was performed in 36 patients with bullous lung disease.
We used VATS for bullectomy, apical stapling, apical pleurectomy/pleural abrasion, and pleurodesis in 36 cases of spontaneous pneumothorax.
1 Surgical bullectomy
is the treatment of choice in patients with giant bullae occupying more than half of the hemithorax.
Mechanisms of relief of exertional breathlessness following unilateral bullectomy
and lung volume reduction surgery in emphysema.
For chronic obstructive pulmonary disease (COPD), in particular, non-pharmacological treatments include smoking cessation strategies, pulmonary rehabilitation, ventilatory support, endobronchial treatments and various forms of surgical treatments including bullectomy
, lung volume reduction surgery and lung transplantation.
Quantitative assessment of dyspnea during exercise before and after bullectomy
in giant bulla.
Three ports of 10mm were used and apical stappling / bullectomy
was done with linear cutting stapler (ethicon, autosuture).
, lung volume reduction surgery, and transplantation for patients with chronic obstructive pulmonary disease.