Combined surgery for lung cancer and giant emphysematous bulla : a case report
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概要
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A 77-year-old male was admitted because of dyspnea and an abnormal chest X-ray. He had been followed for giant bulla in the left lung for 3 years. On admission, his chest roentgenogram revealed a giant bulla occupying one half of the left lung and a tumor shadow in the right upper lung field. Pulmonary function tests, including %VC, FEV <SUB>10</SUB> and unilateral pulmonary artery occlusion test, demonstrated the impaired left pulmonary function.<BR>Bronchial biopsy of the orifice of S<SUP>1</SUP> a confirmed the diagnosis of well-differentiated squamous cell carcinoma. Simultaneous operation for bilateral lung disease was successfully performed a combination of Naclerio-Langer bullectomy with a stapling device, fibrin glue for the giant emphysematous bulla in the left lower lobe and right upper lobectomy for the lung cancer (t<SUB>1</SUB>n<SUB>1</SUB>m<SUB>0</SUB> p-stage II) through a median sternotomy.<BR>Surgical indications and operative techniques for giant bulla and lung cancer are discussed.
- 特定非営利活動法人 日本呼吸器外科学会の論文