Surgical Treatment Of Video-assisted Thoracoscopic Surgery For Bila Teral Bullous Lung Disease In One-stage Operation Clinical Analysis

Objective:To explore the the long-term clinical effect of thoracoscope for the contralateral pulmonary bulla in the same period.Methods:From March 2011 to April 2013, the clinical data of 160 pulmonary bulla patients from the first affiliated hospital of xinjiang medical university were retrospectively analyzed and respectly submidded to A, B, C groups based on pulmonary bulla positions and surgical methods. Group A:Unilateral thoracoscopy pulmonary bulla surgery was performed in 108 spontaneous pneumothorax patients without contralateral pulmonary bulla. Group B:Unilateral thoracoscopy pulmonary bulla surgery was performed in 40 spontaneous pneumothorax patients with bilateral pulmonary bulla. Group C:Bilateral thoracoscopy pulmonary bulla surgery was performed in 12 spontaneous pneumothorax patients with bilateral pulmonary bulla.The morbidities of bilateral pneumothorax, acute pulmonary edema, pleural adhesions, respiratory failure and the postoperative pulmonary complications such as leakage were analysised.Results:Followed up 20 months, the main forms of follow-up is telephone, the second way was following up spontaneous pneumothorax patients who hospitalized again. Group A:Postoperative acute pulmonary edema 1 case (0.9%), pleural adhesions 11 cases (10.19%), respiratory failure 2 cases (1.86%), postoperative leakage 5 cases (4.62%). During the period of following up, the contralated spontaneous pneumothorax 3 cases(2.78%). Group B:Pleural adhesions 4 cases (10.00%), respiratory failure 1 cases (2.50%), postoperative leakage 3 cases (7.50%). During the period of following-up, the contralated spontaneous pneumothorax 15 cases(37.50%). Group C:Pleural adhesions 2 cases (16.67%), postoperative leakage lcases (8.33%). During the period of following-up, the contralated spontaneous pneumothorax 0 cases(0%). Conclusion:The thoracoscope surgery for contralateral pulmonary bulla in the same time is a safe and reliable procedure and could prevent the incidence of contralateral pneumothorax effectively.