Video-Assisted Approach Combined with the Open Brompton Technique for Intracavitary Drainage of Giant Bullae

Abstract

The modified Monaldi procedure represents a nonexcisional treatment option for patients with giant bullous emphysema as an alternative to bullectomy. We want to highlight its role in the surgical treatment of emphysema and discuss changes made to the open-access Brompton approach through introduction of video-assisted thoracic surgical technique.

Keywords

giant bullae - intracavitary drainage - video-assisted thoracic surgery

• References

• 1 Monaldi V. Tentativi di aspirazione endocavitaria nelle caverne tuberculari del polmone. Lotta Contro Tuberc 1938; 9: 910-911
• 2 Shah SS, Goldstraw P. Surgical treatment of bullous emphysema: experience with the Brompton technique. Ann Thorac Surg 1994; 58 (5) 1452-1456
• 3 DeVries WC, Wolfe WG. The management of spontaneous pneumothorax and bullous emphysema. Surg Clin North Am 1980; 60 (4) 851-866
• 4 Reid L . The Pathology of Emphysema. Chicago: Year Book Medical Publishers; 1967 :211–240
• 5 Greenberg JA, Singhal SS, Kaiser LR . Giant bullous lung disease: evaluation, selection, techniques, and outcomes. In: Ferguson MK, ed. Chest Surgery Clinics of North America. Philadelphia: Saunders; 2003 :631–649
• 6 Villamizar NR, Darrabie MD, Burfeind WR , et al. Thoracoscopic lobectomy is associated with lower morbidity compared with thoracotomy. J Thorac Cardiovasc Surg 2009; 138 (2) 419-425