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ID 14226
Eprint ID
14226
FullText URL
Thumnail 104_923.pdf 2.32 MB
Title Alternative
Combined resection of lung cancer and invaded aorta with the use of simple temporary bypass : A case reort
Author
Inoue, Fumiyuki
Kamikawa, Yasuaki
Naomoto, Yoshio
Orita, Kunzo
Hata, Takato
Kuinose, Masahiko
Nanba, Hirofumi
Taniguchi, Gyou
Abstract
Left pneumonectomy and concomitant resection of the invaded aorta were performed by the simple temporary bypass method. The patient was a 59-year-old male with the chief complaint of left thoracic pain. The 57×43×35 mm tumor was in a region centering on segment 6 of the left lung and had infiltrated the descending aorta. It was diagnosed as T4NOMO, Stage IIIb. A bypass for blood flow was established between the aortic arch avobe the invasion and the left femoral artery, after ligation of the pulmonary artery and vein and closure of the left bronchial stump. Vascular blocking forceps were applied to the descending aorta above and below the tumor infiltration, and two thirds of the circumference of the invaded aortic wall, 4.0×3.0 cm, along with the tumor, was resected. Reconstruction was performed with an 18mm Cooly double velour graft. Blood pressure was monitored with a pressure probe inserted into the right femoral artery. It did not fall below 60 mmHg during the operation. Local recurrence was observed 10 montns post-operatively, and the patient is now receiving radiation therapy.
Keywords
簡易式一時バイパス
大動脈合併切除
進行性肺癌
Note
原著
Published Date
1992-10
Publication Title
岡山医学会雑誌
Publication Title Alternative
Journal of Okayama Medical Association
Volume
volume104
Issue
issue9-10
Publisher
岡山医学会
Publisher Alternative
Okayama Medical Association
Start Page
923
End Page
929
ISSN
0030-1558
NCID
AN00032489
Content Type
Journal Article
Official Url
https://www.jstage.jst.go.jp/article/joma1947/104/9-10/104_9-10_923/_article/-char/ja/
language
日本語
Copyright Holders
岡山医学会
File Version
publisher
Refereed
True
Eprints Journal Name
joma