| JaLCDOI |
10.18926/AMO/54816
|
| フルテキストURL |
70_6_507.pdf
|
| 著者 |
Torigoe, Hidejiro|
Toyooka, Shinichi|
Yamamoto, Hiromasa|
Soh, Junichi|
Miyoshi, Shinichiro|
|
| 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
|
| 出版物タイトル |
Acta Medica Okayama
|
| 発行日 |
2016-12
|
| 巻 |
70巻
|
| 号 |
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 |
英語
|
| 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 |
28003678
|
