The procedure of minimally invasive surgery for pulmonary bullae
Aug 23, 2023
Source: Cainiu Health
Dr. Guo Xiheng
Introduction
Pulmonary bullae are air-filled cavities formed in lung tissue due to increased intra-alveolar pressure from various causes, resulting in alveolar wall rupture and coalescence. These can be treated with minimally invasive surgery. Under thoracoscopic guidance, the location of the bulla is identified and it is removed using an electrocautery knife. It is recommended to seek treatment at a正规 hospital and undergo the procedure under the supervision of a qualified physician.
Generally, pulmonary bullae refer to large air-filled cavities in the lungs formed when increased pressure within alveoli causes alveolar wall rupture and subsequent fusion of adjacent spaces. These cavities can be treated with minimally invasive surgery. The specific procedure is as follows:
1. After general anesthesia, the patient is placed in a lateral position, and the chest skin is routinely disinfected and draped.
2. One to three 1-cm incisions are made on the patient's chest side or axillary region, through which a thoracoscope and electrocautery knife are inserted.
3. Under thoracoscopic guidance, the location of the bulla is identified and excised using the electrocautery knife.
4. After removal of the bulla, the parietal and visceral pleura are gently abraded with an iodophor-soaked gauze to induce sterile adhesion within the pleural cavity, thereby reducing the risk of future bulla rupture.
5. Upon completion of the procedure, the thoracoscope and electrocautery instruments are withdrawn, and the incisions are sutured.
This surgical approach is relatively less invasive, helping to minimize patient discomfort and shorten recovery time. If this procedure is required, it is recommended to seek treatment at a reputable hospital under the guidance of qualified medical professionals to reduce surgical risks.
