Results: 1/2012 to 12/2013, at Cho Ray hospital, there were 48 patients in our study, mean age was 39.2 (range, 16 - 72); 42 patients were diagnosed bullous emphysema by chest CT scan, spontaneous pneumothorax in 30 patients; 8 patients bullectomy and the lung was sutured by Vicryl 4 - 0, 30 patients bullectomy by stapler, 10 patients bullectomy by stapler and suture blebs by Vycryl 4 - 0.