Karamustafaoglu, Yekta AltemurYanik, FazliYoruk, Yener2024-06-122024-06-1220231301-5680https://doi.org/10.5606/tgkdc.dergisi.2023.20843https://search.trdizin.gov.tr/yayin/detay/1177096https://hdl.handle.net/20.500.14551/22335In general, in cases of bilateral primary pneumothorax, video-assisted thoracoscopic surgery procedures are performed sequentially on both sides. However, there are only a few reported cases of bullectomy through video-assisted thoracoscopic surgery using a transmediastinal approach for bilateral primary spontaneous pneumothorax. A 20-year-old male patient was admitted to our clinic with a right pneumothorax and developed a left pneumothorax four days later while he was under treatment. He underwent bilateral bullectomy and pleurodesis via a single-incision video-assisted thoracoscopic surgery in the supine position. The patient was discharged uneventfully within 72 h after the procedure. In conclusion, bilateral bullectomy and pleurodesis using single-incision transmediastinal access video-assisted thoracoscopic surgery may be good choices that are technically reliable and provide favorable surgical outcomes.en10.5606/tgkdc.dergisi.2023.20843info:eu-repo/semantics/openAccessMediastinumPleural CavityPneumothoraxVideo-Assisted Thoracoscopic SurgeryAssisted Thoracoscopic SurgeryBullectomyAccessArticle312295299N/AWOS:0009832394000232-s2.0-8515901750337484633Q31177096