Experience of VATS bullectomy with 1 port ＆ 1 puncture method

Abstract

Although the uniportal VATS technique has recently been performed for spontaneous pneumothorax, it usually requires an extended incision, because of difficulties in performing the normal procedure through one port. In this report, we present an improved 1 port ＆ 1 puncture method without extending the skin incision for bullectomy, covering the stump with a poly-glycolic acid (PGA) sheet and applying fibrin glue in the same way as the typical three-port method. The 1 port ＆ 1 puncture method is promising in the treatment of spontaneous pneumothorax.