Abstract：
Spontaneous pneumothorax is one of the most common conditions encountered in thoracic surgery. This condition can be treated conservatively or surgically based on indications and guidelines. Traditional surgical management includes pleurodesis (mechanical or chemical) in addition to bullectomy if the bullae can be identified. Mechanical pleurodesis is usually performed by surgical pleurectomy or pleural abrasion. In this case report, we present a case of a young patient with spontaneous pneumothorax who needed a surgical intervention. We performed a new, innovative surgical technique for surgical pleurectomy where we used carbon dioxide for dissection of the parietal pleura (capnodissection). This technique may provide similar efficiency to the traditional procedure but with less risk of bleeding and complications.
摘要：
自发性气胸是胸外科手术中最常见的疾病之一。这种情况可以根据适应症和指南保守或手术治疗。传统的手术治疗包括胸膜固定术（机械或化学），如果可以识别大疱，除了大疱切除术。机械胸膜固定术通常通过手术胸膜切除术或胸膜擦伤进行。在这个案例报告中,我们介绍了1例发生自发性气胸的年轻患者,该患者需要手术治疗.我们表演了一个新的，外科胸膜切除术的创新手术技术，其中我们使用二氧化碳解剖顶叶胸膜（导管解剖）。这种技术可以提供与传统手术相似的效率，但出血和并发症的风险较小。
