Thoracoscopic Water Pleurectomy for the Treatment of Recurrent Spontaneous Pneumothorax  Claudio Andreetti, MD, PhD, Antonio D'Andrilli, MD, Anna Maria.

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Thoracoscopic Water Pleurectomy for the Treatment of Recurrent Spontaneous Pneumothorax  Claudio Andreetti, MD, PhD, Antonio D'Andrilli, MD, Anna Maria Ciccone, MD, Erino Angelo Rendina, MD  The Annals of Thoracic Surgery  Volume 97, Issue 3, Pages 1088-1090 (March 2014) DOI: 10.1016/j.athoracsur.2013.07.120 Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Schematic picture showing percutaneous extrapleural infiltrations before thoracoscopic pleurectomy according to a triangular scheme. (B) Intraoperative view of percutaneous extrapleural infiltrations before thoracoscopic pleurectomy. The Annals of Thoracic Surgery 2014 97, 1088-1090DOI: (10.1016/j.athoracsur.2013.07.120) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Intrapleural view after water extrapleural infiltration: the parietal pleura is separated from the endothoracic fascia at the level of the intercostal spaces by the extrapleural fluid presence. (B) The pleura is easily removed after natural adherence dissection by the water. (C) Operative view showing the single-port technique. The Annals of Thoracic Surgery 2014 97, 1088-1090DOI: (10.1016/j.athoracsur.2013.07.120) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions