Disease Introduction
Spontaneous pneumothorax is more common in tall, thin young men. It is caused by the rupture of a congenitally weak bulla at the apex of the lung, allowing air to leak into the pleural cavity. Symptoms often include sudden onset of unilateral chest pain, chest tightness, and shortness of breath. In cases with small amounts of air and mild lung compression, observation or puncture aspiration may be sufficient. Recurrent, persistent, or hemopneumothorax cases often require thoracoscopic surgery to remove the bulla and perform pleural fixation to reduce the risk of recurrence.
Cutting-edge high-precision diagnostic and treatment technologies
- Single-port VATS resection : Single-port thoracoscopic bullectomy has become the mainstream. By 2025, county hospitals had also started performing single-port VATS under anesthesia with preserved spontaneous breathing, which does not require double-lumen intubation and is less invasive.
- Mechanical friction fixation : VATS combined with pulmonary bullae resection and mechanical pleural friction has a low recurrence rate in long-term follow-up, which has been confirmed by a single-center long-term cohort.
- Relief to prevent recurrence : A 2026 study suggests that adding lower pulmonary ligament release can shorten drainage time and reduce postoperative recurrence;
- Refined drainage management : Postoperative double-tube drainage can reduce pain and shorten the tube wearing time compared to single-tube drainage, thus promoting rapid recovery;
- Transxiphoid approach : A new transxiphoid approach has emerged for single-port VATS, which reduces intercostal nerve injury and postoperative pain, and is more suitable for bilateral simultaneous surgery.