Bullectomy Questions & Answers

1. Greenberg JA, Singhal S, Kaiser LR. Giant bullous lung disease: evaluation, selection, techniques, and outcomes. Chest Surg Clin N Am. 2003 Nov. 13 (4):631-49. [Medline].

2. Lee S, Park SY, Bae MK, Lee JG, Kim DJ, Chung KY, et al. Efficacy of polyglycolic acid sheet after thoracoscopic bullectomy for spontaneous pneumothorax. Ann Thorac Surg. 2013 Jun. 95(6):1919-23. [Medline].

3. Mehran RJ, Deslauriers J. Indications for surgery and patient work-up for bullectomy. Chest Surg Clin N Am. 1995 Nov. 5(4):717-34. [Medline].

4. Adluri K, Parmar JM. Use the bulla for pneumostasis. Interact Cardiovasc Thorac Surg. 2004. Mar;3(1):19-20. [Medline].

5. Sakamoto K, Takei H, Nishii T, Maehara T, Omori T, Tajiri M, et al. Staple line coverage with absorbable mesh after thoracoscopic bullectomy for spontaneous pneumothorax. Surg Endosc. 2004 Mar. 18(3):478-81. [Medline].

6. Nakahara K, Nakaoka K, Ohno K, Monden Y, Maeda M, Masaoka A, et al. Functional indications for bullectomy of giant bulla. Ann Thorac Surg. 1983. 35(5):480-7. [Full Text].

7. Zoumot Z, Kemp SV, Caneja C, Singh S, Shah PL. Bronchoscopic intrabullous autologous blood instillation: a novel approach for the treatment of giant bullae. Ann Thorac Surg. 2013 Oct. 96(4):1488-91. [Medline].

8. Brister NW, Barnette RE, Kim V, Keresztury M. Anesthetic considerations in candidates for lung volume reduction surgery. Proc Am Thorac Soc. 2008 May 1. 5 (4):432-7. [Medline].

9. Wakabayashi A, Brenner M, Kayaleh RA, Berns MW, Barker SJ, Rice SJ, et al. Thoracoscopic technique for management of giant bullous lung disease. Lancet. 1991. 337:881-3. [Medline].

10. Nickoladze GD. Functional results of surgery for bullous emphysema. Chest. 1992. 101(1):119-22. [Medline].

11. Schipper PH, Meyers BF, Battafarano RJ, Guthrie TJ, Patterson GA, Cooper JD. Outcomes after resection of giant emphysematous bullae. Ann Thorac Surg. 2004. 78(3):976-82. [Medline].

12. Neviere R, Catto M, Bautin N, Robin S, Porte H, Desbordes J, et al. Longitudinal changes in hyperinflation parameters and exercise capacity after giant bullous emphysema surgery. J Thorac Cardiovasc Surg. 2006. 132(5):1203-7. [Medline].

13. Palla A, Desideri M, Rossi G, Bardi G, Mazzantini D, Mussi A, et al. Elective surgery for giant bullous emphysema: a 5-year clinical and functional follow-up. Chest. 2005. 128(4):2043-50. [Medline].

14. Dartevelle P, Macchiarini P, Chapelier A. Operative technique of bullectomy. Chest Surg Clin N Am. 1995 Nov. 5 (4):735-49. [Medline].

15. Lin K, Luh S. Video-assisted thoracoscopic surgery in the treatment of patients with bullous emphysema. Int J Gen Med. 2010. 3:215-220. [Medline]. [Full Text].

16. Nakanishi K. Comparison of cryoprecipitate with commercial fibrinogen in bullectomy. Asian Cardiovasc Thorac Ann. 2010 Feb. 18 (1):27-32. [Medline].

17. Brenner M, Kayaleh RA, Milne EN, Della Bella L, Osann K, Tadir Y, et al. Thoracoscopic laser ablation of pulmonary bullae. Radiographic selection and treatment response. J Thorac Cardiovasc Surg. 1994. 107(3):883-90. [Medline].

18. Baldi S, Palla A, Mussi A, Falaschi F, Carrozzi L, Giuntini C, et al. Influence of bulla volume on postbullectomy outcome. Can Respir J. 2001 Jul-Aug. 8 (4):233-8. [Medline]. [Full Text].

19. Lee DK, Kim H, Kim HK, Chung DI, Han KN, Choi YH. CO₂ during single incisional thoracoscopic bleb resection with two-lung ventilation. J Thorac Dis. 2018 Aug. 10 (8):5057-5065. [Medline]. [Full Text].

20. Chihara K, Okita K, Tamari S, Hirano M. Surgery for emphysematous giant bullae. Kyobu Geka. 2011 Apr. 64(4):330-8. [Medline].

21. Hata Y, Takagi K, Sasamoto S, Kato N, Satoh F, Otsuka H, et al. Infected giant bulla treated by percutaneous drainage followed later by resection: report of a case. Surg Today. 2007. 37(8):656-9. [Medline].

22. Meyers BF, Patterson GA. Chronic obstructive pulmonary disease. 10: Bullectomy, lung volume reduction surgery, and transplantation for patients with chronic obstructive pulmonary disease. Thorax. 2003 Jul. 58(7):634-8. [Medline].

23. Nakanishi K. Long-term effect of a thoracoscopic stapled bullectomy alone for preventing the recurrence of primary spontaneous pneumothorax. Surg Today. 2009. 39 (7):553-7. [Medline].

24. Shigemura N, Akashi A, Nakagiri T. New operative method for a giant bulla: sutureless and stapleless thoracoscopic surgery using the Ligasure system. Eur J Cardiothorac Surg. 2002 Oct. 22 (4):646-8. [Medline].

25. Wakabayashi A. Thoracoscopic technique for management of giant bullous lung disease. Ann Thorac Surg. 1993. 56(3):708-12. [Medline].

26. Barker SJ, Clarke C, Trivedi N, Hyatt J, Fynes M, Roessler P. Anesthesia for thoracoscopic laser ablation of bullous emphysema. Anesthesiology. 1993 Jan. 78(1):44-50. [Medline].

27. Li L, Tian H, Yue W, Li S, Gao C, Si L. Subxiphoid vs intercostal single-incision video-assisted thoracoscopic surgery for spontaneous pneumothorax: A randomised controlled trial. Int J Surg. 2016 Jun. 30:99-103. [Medline]. [Full Text].

28. Zhang D, Miao J, Hu X, Hu B, Li H. A clinical study of efficacy of polyglycolic acid sleeve after video-assisted thoracoscopic bullectomy for primary spontaneous pneumothorax. J Thorac Dis. 2017 Apr. 9 (4):1093-1099. [Medline]. [Full Text].

29. Kawachi R, Matsuwaki R, Tachibana K, Karita S, Nakazato Y, Tanaka R, et al. Thoracoscopic modified pleural tent for spontaneous pneumothorax. Interact Cardiovasc Thorac Surg. 2016 Aug. 23 (2):190-4. [Medline]. [Full Text].

30. Busetto A, Moretti R, Barbaresco S, Fontana P, Pagan V. Extrapleural bullectomy or lung volume reduction: air tight surgery for emphysema without strip-patch. Acta Chir Hung. 1999. 38(1):15-7. [Medline].

31. Brunelli A, Refai M, Muti M, Sabbatini A, Fianchini A. Pleural tent after upper lobectomy: a prospective randomized study. Ann Thorac Surg. 2000 Jun. 69(6):1722-4. [Medline].

32. Venuta F, De Giacomo T, Rendina EA, Ricci C, Coloni GF. Thoracoscopic pleural tent. Ann Thorac Surg. 1998 Nov. 66 (5):1833-4. [Medline].

33. Cho S, Huh DM, Kim BH, Lee S, Kwon OC, Ahn WS, et al. Staple line covering procedure after thoracoscopic bullectomy for the management of primary spontaneous pneumothorax. Thorac Cardiovasc Surg. 2008 Jun. 56 (4):217-20. [Medline].

34. Moser C, Opitz I, Zhai W, Rousson V, Russi EW, Weder W, et al. Autologous fibrin sealant reduces the incidence of prolonged air leak and duration of chest tube drainage after lung volume reduction surgery: a prospective randomized blinded study. J Thorac Cardiovasc Surg. 2008 Oct. 136(4):843-9. [Medline].

35. Dubois L, Malthaner RA. Video-assisted thoracoscopic bullectomy and talc poudrage for spontaneous pneumothoraces: effect on short-term lung function. J Thorac Cardiovasc Surg. 2010 Dec. 140 (6):1272-5. [Medline]. [Full Text].

Neerja Gulati, MD Fellow in Pulmonary Medicine, Interfaith Medical Center

Neerja Gulati, MD is a member of the following medical societies: American College of Chest Physicians, American College of Physicians, American Thoracic Society

Disclosure: Nothing to disclose.

M Frances J Schmidt, MD Chief of Pulmonary Medicine, Pulmonary Fellowship Program, Teaching Attending Physician, Department of Medicine, Interfaith Medical Center

M Frances J Schmidt, MD is a member of the following medical societies: American College of Chest Physicians, American College of Physicians

Disclosure: Nothing to disclose.

Dale K Mueller, MD Co-Medical Director of Thoracic Center of Excellence, Chairman, Department of Cardiovascular Medicine and Surgery, OSF Saint Francis Medical Center; Cardiovascular and Thoracic Surgeon, HeartCare Midwest, Ltd, A Subsidiary of OSF Saint Francis Medical Center; Section Chief, Department of Surgery, University of Illinois at Peoria College of Medicine

Dale K Mueller, MD is a member of the following medical societies: American College of Chest Physicians, American College of Surgeons, American Medical Association, Chicago Medical Society, Illinois State Medical Society, International Society for Heart and Lung Transplantation, Society of Thoracic Surgeons, Rush Surgical Society

Disclosure: Received consulting fee from Provation Medical for writing.

Acknowledgments

The authors thank Dr R. Lazzaro (New York Methodist Hospital) and Dr A. Ketosugbo (Interfaith Medical Center).

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