J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 1852KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 85(9): 934-937, 1984

Report on the annual meeting

OPERATIVE PROCEDURE FOR SIMULTANEOUS SPONTANEOUS PNEUMOTHORAX

Second Department of Surgery, Nihon University, School of Medicine, Tokyo, Japan

Masaaki Ohata

We have treated 542 cases of spontaneous pneumothorax during the past 20 years, among them 40caces of bilateral simultaneous spontaneous pneumothorax and 55 cases of non-simultaneous bilateral pneumothrax were included. This paper discusses when the bilateral operation for bilateral simultaneous spontaneous pneumothorax can be carried out and operative approach to bilateral simultaneous thoracotomy.
The following results were obtained :
Contralateral pneumothorax after an operation for unilateral spontaneous pneumothorax occured in 25% of teenagers. In cases of spontaneous pneumothorax with occurence of contralateral pneumothorax, bilateral simultaneous thoracotomy must be performed. ln cases of simultaneous spontaneous pneumothorax, we performed simultaneous bilateral thoracotomy, thereby decreasing the psychologic tension of patients and shortening the hospitalization period.
The bilateral axillary incision for simultaneous bilateral thoracotomy in cases of simultaneous spontaneous pneumothorax caused least blood loss compared with median sternotomy and transverse bilateral thoracotomy.
The transverse bilateral thoracotomy, on the other hand, opens up a larger operating field.

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