{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T11:46:58Z","timestamp":1790682418230,"version":"4.1.0"},"reference-count":4,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,10,26]],"date-time":"2021-10-26T00:00:00Z","timestamp":1635206400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,10,26]],"date-time":"2021-10-26T00:00:00Z","timestamp":1635206400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Grants from the Health Commission of Yunnan Province Training plan for Medical Reserve Talents","award":["H-2018027"],"award-info":[{"award-number":["H-2018027"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Cardiothorac Surg"],"published-print":{"date-parts":[[2021,12]]},"abstract":"Abstract<\/jats:title>\n Background<\/jats:title>\n Bulla is a common cause of primary spontaneous pneumothorax. Video-assisted thoracoscopic surgery (VATS) through the lateral chest wall is a common surgical approach and an effective treatment for this condition, but postoperative incision scars affect the aesthetic outcome. VATS via axillary approach can hide the scar in the axilla, and the wound in its natural state is invisible; this greatly improves the cosmetic appearance. To our knowledge, this is the first report of VATS-based bullectomy via the axillary approach in a patient with spontaneous pneumothorax.<\/jats:p>\n <\/jats:sec>\n Case presentation<\/jats:title>\n A 20-year-old female patient was admitted to the hospital with a 2-day history of chest tightness and chest pain. Plain chest computed tomography showed right spontaneous pneumothorax, lung compression of 75%, and right pulmonary bulla. After complete preoperative examination, VATS bullectomy via right axillary approach was performed. During the operation, a bulla measuring about 4\u2009\u00d7\u20094\u00a0cm was found at the apex of the right lung and resected. The incision healed well, and the patient was discharged after surgery.<\/jats:p>\n <\/jats:sec>\n Conclusions<\/jats:title>\n VATS bullectomy via axillary approach is safe and feasible, with the incision hidden in the axilla and not visible in the natural state. This method leaves no scar on the chest wall and has good cosmetic outcome.<\/jats:p>\n <\/jats:sec>","DOI":"10.1186\/s13019-021-01703-8","type":"journal-article","created":{"date-parts":[[2021,10,26]],"date-time":"2021-10-26T20:02:41Z","timestamp":1635278561000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Axillary uniportal video-assisted thoracoscopic surgery for bullae is a cosmetically superior approach to primary spontaneous pneumothorax: a case report"],"prefix":"10.1186","volume":"16","author":[{"given":"Weijiang","family":"Ma","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiuping","family":"Deng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ming","family":"Wen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Limin","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xun","family":"Ouyang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4838-2525","authenticated-orcid":false,"given":"Xin","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yin","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,10,26]]},"reference":[{"key":"1703_CR1","doi-asserted-by":"publisher","first-page":"156","DOI":"10.21037\/jovs.2017.09.14","volume":"3","author":"HF Batirel","year":"2017","unstructured":"Batirel HF. Uniportal video-assisted thoracic surgery for esophageal cancer. J Vis Surg. 2017;3:156.","journal-title":"J Vis Surg"},{"issue":"1","key":"1703_CR2","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1007\/s11748-014-0468-9","volume":"63","author":"T Goto","year":"2015","unstructured":"Goto T, Kadota Y, Mori T, Yamashita S, Horio H, Nagayasu T, et al. Video-assisted thoracic surgery for pneumothorax: republication of a systematic review and a proposal by the guideline committee of the Japanese association for chest surgery 2014. Gen Thorac Cardiovasc Surg. 2015;63(1):8\u201313.","journal-title":"Gen Thorac Cardiovasc Surg"},{"issue":"3","key":"1703_CR3","doi-asserted-by":"publisher","first-page":"225","DOI":"10.5090\/kjtcs.2011.44.3.225","volume":"44","author":"SJ Kim","year":"2011","unstructured":"Kim SJ, Lee HS, Kim HS, Shin HS, Lee JW, Kim KI, et al. Outcome of video-assisted thoracoscopic surgery for spontaneous secondary pneumothorax. Korean J Thorac Cardiovasc Surg. 2011;44(3):225\u20138.","journal-title":"Korean J Thorac Cardiovasc Surg"},{"issue":"2","key":"1703_CR4","doi-asserted-by":"publisher","first-page":"S729","DOI":"10.1016\/j.athoracsur.2007.12.001","volume":"85","author":"A Mahtabifard","year":"2008","unstructured":"Mahtabifard A, Fuller CB, McKenna RJ. Video-assisted thoracic surgery sleeve lobectomy: a case series. Ann Thorac Surg. 2008;85(2):S729\u201332.","journal-title":"Ann Thorac Surg"}],"container-title":["Journal of Cardiothoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-021-01703-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13019-021-01703-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-021-01703-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,10,26]],"date-time":"2021-10-26T20:02:44Z","timestamp":1635278564000},"score":1,"resource":{"primary":{"URL":"https:\/\/cardiothoracicsurgery.biomedcentral.com\/articles\/10.1186\/s13019-021-01703-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10,26]]},"references-count":4,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["1703"],"URL":"https:\/\/doi.org\/10.1186\/s13019-021-01703-8","relation":{},"ISSN":["1749-8090"],"issn-type":[{"value":"1749-8090","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,10,26]]},"assertion":[{"value":"8 October 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 October 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 October 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this manuscript and any accompanying images. A copy of the written consent is available for review by the editor of this journal.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors have no conflicts of interest to declare.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"314"}}