Clinical Paths for Video Assisted Thoracoscopic Surgery for Primary Spontaneous Pneumothorax Hiroaki OSADA 1 , Hisashi TSUKADA 1 , Kumio YOKOTE 1 , Yasuhiko TAIRA 1 , Atsushi MOCHIZUKI 1 1Department of Surgery (Division of Chest Surgery), St. Marianna University School of Medicine Keyword: クリニカルパス , 原発性自然気胸 , 胸腔鏡下手術 pp.431-435
Published Date 2000/10/15
DOI https://doi.org/10.11477/mf.4426900170
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Partial lung resection including bullous lesions and additional partial parietal pleurectomy by VATS have been the standard surgical treatment for primary spontaneous pnemothorax in our service. We believe that pleuderosis is important for prevention of postoperative relapse of pneumothorax. We should keep the lung on the operated side fully expanded by keeping the chest drain under suction continuously, until POD#4 for adhe-sion between the lung and the chest wall. Here we have introduced the clinical pathway we are using for treat-ment of primary spontaneous pneumothorax by VATS.

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