Abstract
We describe a novel technique for the creation of a pleural tent and pleurectomy via the use of a laparoscopic hernia balloon. In this method a Spacemaker™ Structural Balloon Trocar (Covidien, USA) is tunnelled under the pleura at the site of thoracotomy or video assisted thoracoscopic surgery port and incrementally inflated under vision. This method is less traumatic than traditional methods, is more likely to provide an intact pleural tent, and allows the surgeon to operate in a near bloodless operative field.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Miscall L, Duffy RW, Nolan RB, Klopstock R. The pleural tent as a simultaneous tailoring procedure in combination with pulmonary resection. Am Rev Tuberc. 1956;73:831–5.
Uzzaman MM, Robb JD, Mhandu PCE, Khan H, Baig K, Chaubey S, et al. A meta-analysis assessing the benefits of concomitant pleural tent procedure after upper lobectomy. Ann Thorac Surg. 2014;90:365–72.
Da-Silva MC, Sugarbaker DJ. Technique of extrapleural pneumonectomy. Open Tech Thorac Cardiovasc Surg. 2001;15:282–93.
Argote-Greene LM, Chang MY, Sugarbaker DJ. Extrapleural pneumonectomy for malignant pleural mesothelioma. MMCTS Eur Assoc Cardiothorac Surg. 2005. https://doi.org/10.1510/mmcts.2004.000133.
Murthy SC, Raja S. Mason DP Optimizing control of the pleural space. Semin Thorac Cardiovasc Surg. 2012;24:37–41.
Sugarbaker DJ. Macroscopic complete resection: the goal of primary surgery in multimodal therapy for pleural mesothelioma. J Thorac Oncol. 2006;1:175–6.
Araujo CAA, Carvalho GSL, Pinheiro LDP, Costa MG, Melo LV, Balieiro MA, et al. Single-port video-assisted thoracoscopic pleurectomy by hydrostatic pleural dissection for pleurodesis. Interactive cardiovascular and thoracic surgery (conference abstract); 2016.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
None declared.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Electronic supplementary material
Below is the link to the electronic supplementary material.
Supplementary file1 (MP4 45130 kb)
Supplementary file2 (MP4 11910 kb)
Rights and permissions
About this article
Cite this article
Florisson, D., Shukla, R., Alam, N. et al. Novel technique for parietal pleural dissection using a laparoscopic hernia balloon. Gen Thorac Cardiovasc Surg 68, 554–556 (2020). https://doi.org/10.1007/s11748-020-01287-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11748-020-01287-5