70_6_507.pdf 11.5 MB
Torigoe, Hidejiro Department of Thoracic Surgery, Okayama University Hospital
Toyooka, Shinichi Department of Thoracic Surgery, Okayama University Hospital ORCID Kaken ID researchmap
Yamamoto, Hiromasa Department of Thoracic Surgery, Okayama University Hospital ORCID Kaken ID researchmap
We present the case of a 65-year-old Japanese man diagnosed with chronic empyema (without a bronchopleural fistula) that occurred 7 months after he underwent an extrapleural pneumonectomy for right malignant pleural mesothelioma (MPM). Following thoracic drainage and irrigation for 1 month, we performed surgery by a thoracoscopic approach, in light of his general condition. We performed debridement and removal of the Gore-Tex polytetrafluoroethylene (PTFE) patch that had been used for the reconstruction of the diaphragm and the pericardium. The empyema had not relapsed when he died from recurrence of the MPM at 4 months after the thoracoscopic surgery. This patientʼs case suggests that thoracoscopic debridement and patch removal can be a therapeutic option for not only early-stage (exudative or fibrinopurulent) empyema but also late-stage (organized and chronic) empyema without a bronchopleural fistula, particularly for patients in poor general condition.
Acta Medica Okayama
Okayama University Medical School
CopyrightⒸ 2016 by Okayama University Medical School