Slovenská chirurgia 3-4/2016
Observational cohort study of apical perivascular pleural defects in association with subpleural blebs localisation and aethiology of the spontaneous pneumothorax using 2D and 3D thoracoscopic optical device
Etiology of primary spontaneous pneumothorax has not been elucidated yet, as it is most probably multifactorial. Advancements in the field of imaging techniques as well as establishment of 3D instruments into routine thoracoscopic practice allow better spatial orientation of the surgeon along with optimized evaluation of the anatomical ratios in the pleural cavity. Perivascular pleural defects are small depressions occuring along the subclavian vascular bundle and the cranial part of vena cava superior that might correlate with the localization of apical subpleural blebs. The hypothetical mechanism of lung tissue herniation into these defects and their role in etiopathogenesis of primary spontaneous pneumothorax are still yet to be determined. The objective of this study is to identify perivascular pleural defects and their relationship with the position of subpleural blebs in 2D and 3D imaging as a part of thoracoscopic therapeutic treatment of the disease.
Keywords: perivascular pleural puncture, pneumothorax, 3D optical equipment
