[症例報告]巨大気腫性嚢胞症の2切除例 : 特にフェルト装着の自動縫合器と胸腔鏡の有用性について

概要

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The main problems related to surgical procedure for emphysematous giant bulla are surgical stress and prolonged air leakage in patients with impaired lung function. We suecessfully treated two cases of emphysematous giant bulla utilizing felt augumented stapling device and thoracoscopic surgery. Case 1:An 80-year-old man was transferred to our hospital for dyspnea on effort. Bullectomy using a felt augumented stapling divice was performed under thoracoscopic assistance. After the operation, there was no air leakage and the chest tube was removed on the second postoperative day. Dyspnea and the postoperative lung function test improved. Case2 : A 68-year-old man was admitted for dyspnea on effort. He had giant bulla and a mass near the bulla which was suspected to be malignant. Bullectomy and partial lung resection including the mass were performed using a felt augumented stapling divice. After the operation, there was no air leakage, and the chest tube was removed on the fourth postoperative day. Histologic examination of the mass revealed an abscess. Although the postoperative lung function improvement was mild, symptoms of dyspnea improved.
琉球医学会,Ryukyu Medical Associationの論文