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Preoperative saline-filled computed tomography thoracography for awake video-assisted thoracic surgery: report of three cases
- Source :
- Surgery today. 45(12)
- Publication Year :
- 2015
-
Abstract
- Awake video-assisted thoracic surgery (VATS) is a therapeutic option for patients with intractable secondary spontaneous pneumothorax (SSP) complicated by impaired pulmonary function. The preoperative identification of air leak points is one of the keys to the success of this procedure. We describe how we performed saline-filled computed tomography (CT) thoracography to detect pleural fistulae in three patients with intractable SSP. Saline-filled CT thoracography showed bubble signs in two patients and an air–water level in bulla in one patient. The preoperative identification of air leak points resulted in successful awake VATS for all three patients. Our experience demonstrates that saline-filled CT thoracography is a useful diagnostic tool for SSP, especially when used in preparation for awake VATS when minimally invasive procedures are desirable.
- Subjects :
- Male
medicine.medical_specialty
Adolescent
medicine.medical_treatment
Computed tomography
Sodium Chloride
Pulmonary function testing
medicine
Humans
Secondary spontaneous pneumothorax
Wakefulness
Saline
Minimally invasive procedures
Aged
Aged, 80 and over
medicine.diagnostic_test
business.industry
Thoracic Surgery, Video-Assisted
Pneumothorax
General Medicine
Surgery
Treatment Outcome
Cardiothoracic surgery
Video assisted thoracic surgery
Preoperative Period
Female
Radiography, Thoracic
business
Tomography, X-Ray Computed
Bulla (amulet)
Subjects
Details
- ISSN :
- 14362813
- Volume :
- 45
- Issue :
- 12
- Database :
- OpenAIRE
- Journal :
- Surgery today
- Accession number :
- edsair.doi.dedup.....f621782717b36ee94a895ffbe182bf94