ArticleThe Journal of thoracic and cardiovascular surgery2016
Transareolar pulmonary bullectomy for primary spontaneous pneumothorax.
Article in The Journal of thoracic and cardiovascular surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 18 citations in OpenAlex.
- Periareolar approach in video-assisted thoracoscopic surgery for right middle lobectomy: a novel technique.Surgical endoscopy · 2024Trial
- Trial
- Analysis of the safety and feasibility of subcutaneous areolar tunnel single-port thoracoscopic radical resection for lung cancer: a retrospective cohort study.Updates in surgery · 2026Article
- Uniportal transareolar video-assisted thoracoscopic surgery bronchovascular sleeve lobectomy for central squamous cell carcinoma: A case report.JTCVS techniques · 2026Article
- Early versus late chest tube removal after surgery for primary spontaneous pneumothorax-a systematic review and meta-analysis.Journal of thoracic disease · 2025Article
- Transareolar uniportal thoracoscopic extended thymectomy for patients with myasthenia gravis.Frontiers in surgery · 2022Article
- A prospective comparative study of thoracoscopic transareolar and uniportal approaches for young male patients with primary spontaneous pneumothorax.General thoracic and cardiovascular surgery · 2021Article
- Transareolar uniportal video-assisted thoracoscopic surgery for the treatment of male patients with peripheral pulmonary nodules: a novel technique in thoracic surgery.Updates in surgery · 2021Article
- Clock dial integrated positioning combined with single utility port video-assisted thoracoscopic surgery: a new localization method for lung tumors.Journal of thoracic disease · 2021Article
- Transareolar single-port endoscopic thoracic sympathectomy with a flexible endoscope for primary palmar hyperhidrosis: a prospective randomized controlled trial.Annals of translational medicine · 2020Article
- Feasibility of thoracoscopic pulmonary bullectomy using a transareolar approach for treatment of primary spontaneous pneumothorax.Journal of thoracic disease · 2020Article
- Simplified synchronous disconnection of pulmonary arteries and veins for right upper lobectomy.Surgical endoscopy · 2019Article
- Is surgery the choice for treatment for first presentation of pneumothorax?Journal of thoracic disease · 2019Article
- Surgery for primary spontaneous pneumothorax.Journal of thoracic disease · 2016Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundConventional 3-port video-assisted thoracoscopic surgery is the classic approach for the diagnosis and treatment of primary spontaneous pneumothorax. Transareolar pulmonary bullectomy rarely has been attempted. This study aimed to evaluate the feasibility and safety of this novel minimally invasive technique in managing primary spontaneous pneumothorax.
methodsFrom January 2013 to December 2014, a total of 112 male patients with primary spontaneous pneumothorax underwent transareolar pulmonary bullectomy by use of a 5-mm thoracoscope.
resultsAll procedures were performed successfully, with a mean operating time of 26.5 minutes. The mean length of transareolar incision for the main operation was 2.0 ± 0.2 cm, the mean length of incision for the camera port was 0.6 ± 0.1 cm, and the mean postoperative cosmetic score was 3.0 ± 0.8. All patients regained consciousness rapidly after surgery. One hundred seven patients (95.5%) were discharged on postoperative day 2 or 3, with the remainder discharged on postoperative day 4 or 5. Postoperative complications were minor. At 6 months postoperatively, there was no obvious surgical scar on the chest wall, and no patient complained of postoperative pain. No recurrent symptoms were observed. One-year follow-up revealed an excellent cosmetic result and degree of satisfaction.
conclusionsTransareolar pulmonary bullectomy is a safe and effective therapeutic procedure for primary spontaneous pneumothorax caused by pulmonary bullae. The incision is hidden in the areola with excellent cosmetic effects. This novel procedure shows promise as a treatment of primary spontaneous pneumothorax.
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