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ID 54816
JaLCDOI
フルテキストURL
Thumnail 70_6_507.pdf 11.5 MB
著者
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
抄録
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.
キーワード
empyema
chronic
extrapleural pneumonectomy
thoracoscopic debridement
patch removal
Amo Type
Case Report
発行日
2016-12
出版物タイトル
Acta Medica Okayama
70巻
6号
出版者
Okayama University Medical School
開始ページ
507
終了ページ
510
ISSN
0386-300X
NCID
AA00508441
資料タイプ
学術雑誌論文
言語
English
著作権者
CopyrightⒸ 2016 by Okayama University Medical School
論文のバージョン
publisher
査読
有り
PubMed ID