Bullectomy

Bullectomy is a surgical procedure that involves the removal of a bulla from the lung. Bullae are air-filled spaces that can develop in the lungs as a result of diseases such as chronic obstructive pulmonary disease (COPD) and emphysema. These bullae can become very large and cause breathing difficulties.

Indications

Bullectomy is typically indicated for patients with large bullae that occupy at least one-third of the hemithorax and cause significant symptoms such as dyspnea (shortness of breath), recurrent pneumothorax (collapsed lung), or hemoptysis (coughing up blood).

Procedure

The procedure is usually performed under general anesthesia. The surgeon makes an incision in the chest wall and inserts a thoracoscope, a thin tube with a camera on the end, into the chest cavity. The bulla is then identified and carefully removed, taking care not to damage the surrounding lung tissue. The remaining lung tissue is then re-inflated and the incision is closed.

Risks and Complications

As with any surgical procedure, bullectomy carries risks. These can include infection, bleeding, and complications related to anesthesia. There is also a risk of pneumothorax following the procedure.

Prognosis

The prognosis following bullectomy is generally good, with most patients experiencing a significant improvement in symptoms. However, the underlying lung disease will continue to progress, and ongoing treatment will be necessary.

See Also

• Lung surgery
• Thoracoscopy
• Pneumothorax
• Chronic obstructive pulmonary disease
• Emphysema