When is bullectomy indicated?

Updated: Feb 21, 2019
  • Author: Neerja Gulati, MD; Chief Editor: Dale K Mueller, MD  more...
  • Print
Answer

Patient selection is one of the most important aspects of successful bullectomy. [1]  The most common indications for bullectomy include the following [3, 4, 5] :

  • Severe dyspnea due to a giant bulla (ie, one occupying 30% or more of the hemithorax)
  • Spontaneous secondary pneumothorax
  • Pain
  • Repeated infection
  • Hemoptysis

Some authors also recommend surgery for bullae that are increasing in size on serial chest radiographs, as well as lesions occupying more than 50% of the hemithorax, even if the patient is asymptomatic. [4, 5]


Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!