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P. H. Schipper, B. F. Meyers, R. J. Battafarano, T. J. Guthrie, G. A. Patterson and J. D. Cooper, “Outcomes after Resection of Giant Emphysematous Bullae,” The Annals of Thoracic Surgery, Vol. 78, No. 3, 2004, pp. 976-982. doi:10.1016/j.athoracsur.2004.04.005

has been cited by the following article:

• TITLE: Successful Two-Stage Surgical Treatment for Lung Cancer in a Patient with Contralateral Giant Emphysematous Bullae

  AUTHORS: Yuji Hirami, Katsuhiko Shimizu, Riki Okita, Shinsuke Saisho, Takuro Yukawa, Ai Maeda, Kouichiro Yasuda, Masao Nakata

  KEYWORDS: Giant Emphysematous Bulla; Pulmonary Function; Bullectmy; Lung-Cancer; Surgery

  JOURNAL NAME: Open Journal of Thoracic Surgery, Vol.2 No.4, December 31, 2012

  ABSTRACT: A 67-year-old man was referred for further evaluation of an abnormal chest roentgenogram. Computed tomography showed a 40 × 30 mm mass in the left upper lobe. A giant bulla occupying about two-thirds of the right thorax was found compressing the adjacent lung parenchyma, shifting the mediastinum to the left. The mass was a primary lung cancer, clinical T2aN0M0, stage IB. Preoperative respiratory function evaluation showed poor pulmonary function, with a forced expiratory volume in 1 second of 1070 ml (29.2% of predicted). Therefore, we first performed giant bullectomy by video-assisted thoracoscopic surgery. At 1 month after this operation, improvement of the forced expiratory volume in 1 second significantly to 2140 ml (80.1% of predicted) was observed. Therefore, we performed resection for the tumor. He was discharged after an uneventful postoperative course, and has remained in good condition for 6 months after the operation.