Nội soi lồng ngực một lỗ qua đường vào dưới mũi ức cắt kén khí hai bên - Báo cáo ca lâm sàng và nhìn lại y văn

Report on a clinical case of subxiphoid uniportal VATS for bilateral bullectomy at Pham Ngoe Thach hospital and reviewing the literature.Result: A 5 3-year-old male patient was admitted to hospital with spontaneous recurrent right sided pneumothorax. CT Scan revealed bilateral bullous lung disease. The patient was under general anesthesia with double lumen endotracheal tube intubation to allow for selective ventilation, and was placed in the supine position throughout the surgery. The surgery was started with a 5 cm midline vertical incision below the sternalcostal triangle. Dissection was performed to access the retrosternal space. The two pleural cavities were entered above the level of the diaphragm one and the next. Bilateral bullea were identified and resected using surgical staplers. Two 32 Fr drains were placed via subxiphoid incision and placed on - 20 cm H:O suction. The patient was mobilized from day 1 with minimal pain. The right drain was removed on the 6th posoperated day and the left drain on the 13th day after air leak had completely ceased. The patient was discharged on the 14th day. Follow-up after one month for good results. Conclusion: Subxiphoid uniportal VATS bilateral bullectomy can be successfully performed with good results in selective patient who has spontaneous pneumothorax with contralateral bulla.