Abstract

A case of pneumothorax occurred in the right lung immediately after mastectomy for a right breast cancer which was successfully treated by thoracoscopic bullectomy is reported. A 62-year-old woman was admitted to the hospital because of a right breast tumor and underwent a right modified radical mastectomy with a diagnosis of right breast cancer. After the mastectomy, chest X-ray examination showed a right pneumothorax. She was inserted a thoracic catheter into the right thorax. But the right pneumothorax could not be improved, so we used thoracoscopic bullectomy for relaxation of the surgical wound and postoperative rehabilitation. Thoracotomy for pneumothrax is performed usually, but we have concluded that thoracoscopic bullectomy is effective in operating on for pneumothorax in the same side of the breast cancer because it has many advantages of shortening of the size of the wound, reduction of postoperative pain, early recovery of postoperative state and early start of rehabilitation.

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