The video shows an endoscopic modification of the established conventi
onal surgical therapy of recurrent or persistant spontaneous pneumotho
rax: The indications and endoscopic techniques of parietal pleurectomy
, ligature of leaking bullae and wedge resection are demonstrated. Our
first experience on 50 patients indicates, that minimal postoperative
pain and a relatively short hospital stay (mean 3.6 days postop.) are
the advantages of minimal invasive techniques also in thoracic surger
y. Long-term results are however still lacking.