PMC6277214_01
Pre operative CT-scan showed an apical bullae in the right upper lobe, in absence of pneumothorax. (A) Partial lysis of pleural adhesions and apical bullectomy were done using vessel sealing and stapling devices. (B-C). A 24 h post operative chest X-ray showed a right pulmonary radiopacity suspected for hemothorax. The presence of clots were confirmed in course of redo-VATS. (D-E) Post operative chest X-ray showed full re-expansion of the pulmonary parenchyma following to complete pleurolysis in redo-VATS. (F).
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Due to the presence of diffuse pleural adhesions, a partial pleurolysis was performed before stapling apical bullae (Fig. 1B, C). After 24 h the post operative chest X-ray revealed a right radiopacity suspected for hemothorax. (Fig. 1D) A redo-VATS, under general anesthesia with one lung ventilation, was performed by biportal anterior approach. This surgical procedure allowed to remove blood clots and residual adhesions in the pleural cavity with full expansion of the lung (Fig. 1E, F).