ID 54816
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Thumnail 70_6_507.pdf 11.5 MB
Author
Torigoe, Hidejiro Department of Thoracic Surgery, Okayama University Hospital
Toyooka, Shinichi Department of Thoracic Surgery, Okayama University Hospital
Yamamoto, Hiromasa Department of Thoracic Surgery, Okayama University Hospital
Soh, Junichi Department of Thoracic Surgery, Okayama University Hospital
Miyoshi, Shinichiro Department of Thoracic Surgery, Okayama University Hospital
Abstract
We present the case of a 65-year-old Japanese man diagnosed with chronic empyema (without a bronchopleural fistula) that occurred 7 months after he underwent an extrapleural pneumonectomy for right malignant pleural mesothelioma (MPM). Following thoracic drainage and irrigation for 1 month, we performed surgery by a thoracoscopic approach, in light of his general condition. We performed debridement and removal of the Gore-Tex polytetrafluoroethylene (PTFE) patch that had been used for the reconstruction of the diaphragm and the pericardium. The empyema had not relapsed when he died from recurrence of the MPM at 4 months after the thoracoscopic surgery. This patientʼs case suggests that thoracoscopic debridement and patch removal can be a therapeutic option for not only early-stage (exudative or fibrinopurulent) empyema but also late-stage (organized and chronic) empyema without a bronchopleural fistula, particularly for patients in poor general condition.
Keywords
empyema
chronic
extrapleural pneumonectomy
thoracoscopic debridement
patch removal
Amo Type
Case Report
Published Date
2016-12
Publication Title
Acta Medica Okayama
Volume
volume70
Issue
issue6
Publisher
Okayama University Medical School
Start Page
507
End Page
510
ISSN
0386-300X
NCID
AA00508441
Content Type
Journal Article
language
英語
Copyright Holders
CopyrightⒸ 2016 by Okayama University Medical School
File Version
publisher
Refereed
True
PubMed ID