Abstract

The ideal video thoracoscopic surgery for spontaneous pneumothorax should maximize the benefits of minimally invasive surgery but minimize the surgical cost; thereby reducing chest wall trauma using the fewest incisions and the least money possible without compromising therapeutic efficiency. Described here include a complete single utility-incision thoracoscopic approach and bulla ligation with a deep hypodesmus technique, so as to reduce the use of the multiple endostapling cartridges typically required during bulla resection. 31 patients with spontaneous pneumothorax were submitted to this technique during the past 6 years. All the processes were smoothly without any prolonged air leakage and recurrence up to now. We believe this technique can be considered a valid alternative to stapling technology during video thoracoscopic procedure for spontaneous pneumothorax, and could be widely recommended in the developing countries.

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