Thoracoscopic water pleurectomy for the treatment of recurrent spontaneous pneumothorax

Ann Thorac Surg. 2014 Mar;97(3):1088-90. doi: 10.1016/j.athoracsur.2013.07.120. Epub 2013 Aug 15.


We describe a new technique for thoracoscopic pleurectomy for the treatment of spontaneous pneumothorax. This is performed by percutaneous subpleural infiltration of 0.9% saline solution from the second to the seventh or eighth intercostal space, the so-called water pleurectomy. The extrapleural infiltration allows gentle separation of the parietal pleura by the division of its natural adherence to the endothoracic fascia. This technique reduces the trauma of the procedure and decreases bleeding. Technical details and preliminary results are reported.

MeSH terms

  • Humans
  • Pleura
  • Pneumothorax / therapy*
  • Recurrence
  • Sodium Chloride / administration & dosage*
  • Thoracoscopy*
  • Water / administration & dosage*


  • Water
  • Sodium Chloride