One-stage operation for bilateral spontaneous pneumothorax using imaged thoracoscopic technique: case report

Bilateral apical bullae have previously been approached by staged or one-staged bilateral thoracotomy. In a 26-year-old male with bilateral primary spontaneous pneumothorax, bilateral apical bullae were successfully removed with thorough pleural abrasion using imaged thoracoscopic surgery in one operation. Postoperative pain was markedly reduced, pulmonary toilet was easily accomplished and cosmetic appearance of the scar satisfactory. Bilateral bullectomy and pleurodesis using imaged thoracoscopic surgery can, therefore, provide a simpler and safer option for bilateral pneumothorax.