人工気胸術後の遺残腔に発育した巨大陳旧性血胸に対する肺遊離術の適応拡大の試み

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Although artificial pneumothorax therapy for pulmonary tuberculosis was very popular and showed good results before the age of chemotherapy, it was sometimes followed by such complications as chronic thoracic empyema, chronic hemorrhagic pleuritis, malignant lymphoma arising from the empyema wall, etc, several decades after treatment. The author treated a 49-year-old man, whose chief complaints were DOE and left chest pain. He had chronic expanding left hemothorax, which had gradually developed in a long-standing residual cavity from previous artificial pneumothorax. It finally occupied the whole left hemithorax and compressed the mediastinum to the contralateral side.<BR>"Pulmonary detachment procedure", which consists of mobilization of the lung from the adjacent tissue and visceral decortication of the pleural peel, was carried out to allow lung reexpansion and to diminish the hemothorax cavity.<BR>He still has a small intrathoracic dead space, but he has been enjoying better quality of life for over five years after operation with no evidence of relapse of the disease. This operation can be judged to have been successful.
特定非営利活動法人日本呼吸器外科学会の論文