<ORIGINAL REPORT>EXPERIMENTAL STUDIES AND CLINICAL APPLCATION OF INTRATHORACAL BIOPSY USING THORACOSCOPE AND TISSUE ADHESIVE
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この論文は国立情報学研究所の学術雑誌公開支援事業により電子化されました。In order to facilitate the preventive measures against postoperative complications such as hemorrhage and air leakage after thoracoscopic lung biopsy, combined application of the galvanic cauterization for hemorrhage and the tissue adhesive for air leakage was attempted. On the basis of experimental substantiation of this method, clinical application was done successfully in 133 patients with diffuse pulmonary disease and pleural or subpleural lesions. No complications such as bleeding, pleural effusion and empyema has not been experienced except for one case of postoperative pneumothorax. The method was proved to be excellent in that the relatively large size of biopsy specimen could be obtained to make diagnosis without any serious complication on the basis of cytological as well as histological study. Since the introduction of the thoracoscopy by Jacobaeus in 1910^<1)>, it had been of limited usage for the purpose of cauterizing dissection of pleural adhesion combined with therapautic pneumothorax for the treatment of pulmonary tuberculosis. Now that therapeutic value of artificial pncumothorax has been lost completely, thoracoscopy itself is being widely accepted as one of diagnostic measures in chest clinic not only by visualizing the intrathoracic lesions with the least traumatic procedure, but also by facillitating an authentic biopsy of pleural or subpleural parenchymatous lesions of lung^<2-9)>. The procedure because of the small incision might, in turn, make difficult to confirm a presence of postoperative complication such as hemorrhage or air leakage. For this reason, supplemental procedures comprising galvanic cauterization for hemorrhage and tissue adhesive (alpha-cyanoacrylate) for air leakage has been recommended^<10-18)>. Since 1968,we have attempted thoracoscopic biopsy with this supplemental procedures in 133 consecutive cases without any postoperative complications except for one case with postoperative pneumothorax. In this connection, additional application of thin fibrin film to the point of air leakage with tissue adhesive has been attempted. This paper will be concerned with the experimental study and clinical application of the additional improvement of repairment technique against tissue caused by biopy using adhesive under the thoracoscopic examination.
- 京都大学の論文
- 1976-03-30
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- EXPERIMENTAL STUDIES AND CLINICAL APPLCATION OF INTRATHORACAL BIOPSY USING THORACOSCOPE AND TISSUE ADHESIVE