Video-Assisted Thoracoscopic Surgery (VATS) in the Treatment of Pulmonary Bulla

Authors

  • S M Tajdit Rahman Assistant Registrar, Department of Thoracic Surgery, NIDCH, Mohakhali, Dhaka, Bangladesh
  • Md Mofizur Rahman Mia Associate Professor, Department of Thoracic Surgery, NIDCH, Mohakhali, Dhaka, Bangladesh
  • Mosharraf Hossain Associate Professor, Department of Thoracic Surgery, NIDCH, Mohakhali, Dhaka, Bangladesh
  • Kazi Saiful Islam Shakil Associate Professor, Department of Thoracic Surgery, NIDCH, Mohakhali, Dhaka, Bangladesh
  • Anwarul Anam Kibria Associate Professor, Department of Thoracic Surgery, NIDCH, Mohakhali, Dhaka, Bangladesh
  • Manabendra Biswas Professor, Department of Thoracic Surgery, NIDCH, Mohakhali, Dhaka, Bangladesh
  • Abdur Rahim Assistant Professor, Department of Thoracic Surgery, NIDCH, Mohakhali, Dhaka, Bangladesh
  • Mobarak Hossain Assistant Professor, Department of Thoracic Surgery, NIDCH, Mohakhali, Dhaka, Bangladesh
  • Md Nazmul Islam Assistant Professor, Department of Thoracic Surgery, NIDCH, Mohakhali, Dhaka, Bangladesh
  • A K M Razzaque Razzaque Former Professor, Department of Thoracic Surgery, NIDCH, Mohakhali, Dhaka & Chief Consultant, Thoracic Surgery, Green Life Hospital, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/jbcps.v41i4.68926

Keywords:

Pulmonary bullae; Video-assisted thoracoscopic surgery; Bullectomy; VATS

Abstract

Introduction: Video-assisted thoracoscopic surgery (VATS) has been widely applied for the treatment of intrathoracic diseases, including bullous lung disease. VATS has been evaluated to replace thoracotomy for various lung resection surgeries. This study aims to determine the efficacy, safety, and outcome VATS for bullectomy.

Method: This retrospective study was performed from January 2021 to December 2022 in the department of Thoracic Surgery at National Institute of Diseases of the Chest & Hospital, Dhaka and Green Life Hospital, Dhaka. We reviewed all the patients who underwent bullectomy through VATS within this period. The demographic and operative variables were collected. The safety and efficacy of the procedure in terms of postoperative complications and change in lung function after bullectomy was analysed.

Result: Forty patients underwent elective VATS bullectomy due either to giant bulla or pneumothorax. Among them, 36 were male with mean age 47.4 years (range 20-65 years). There was significant improvement in lung function following bullectomy. Approximately one third patients (32.5%) developed postoperative complications, majority having air leak. There was no postoperative mortality within 30 days.

Conclusion: VATS resection is a safe and effective treatment for bullous lung disease with significant improvement in symptoms and lung function following surgery.  

J Bangladesh Coll Phys Surg 2023; 41(4): 287-293

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Published

2023-10-26

How to Cite

Rahman , S. M. T. ., Rahman Mia, M. M. . ., Hossain, M. ., Islam Shakil , K. S. ., Kibria, A. A. ., Biswas, M. ., Rahim, A. ., Hossain , M. ., Islam , M. N. ., & Razzaque , A. K. M. R. . (2023). Video-Assisted Thoracoscopic Surgery (VATS) in the Treatment of Pulmonary Bulla. Journal of Bangladesh College of Physicians and Surgeons, 41(4), 287–293. https://doi.org/10.3329/jbcps.v41i4.68926

Issue

Vol. 41 No. 4 (2023)

Section

Original Articles

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