遊離腹直筋鞘を用いた気管支パッチ形成術と大網充填術で治癒し得た肺切除後有ろう性膿胸の1例

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  • Successful treatment of bronchopleural fistula complicated by empyema with reconstruction using isolated rectus sheath and omentopexy.

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A 73-year-old male with non-small cell lung cancer in the right lower lobe underwent right lower lobectomy and systematic lymph node dissection. On the 29th postoperative day empyema developed, and intrathoracic drainage was performed, followed by open window thoracotomy on the 71th postoperative day. After the open window thoracotomy, a bronchopleural fistula appeared on the membranous portion of the middle lobe bronchus. After the cleaning of the empyema space, the bronchopleural fistula was covered with an isolated rectus sheath, and the empyema space was then filled with an omental pedicled flap. The empyema completely disappeared, and bronchoscopic examination revealed that the reconstructed portion using the isolated rectus sheath was intact on 3 years after surgery.

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