イチキ　ヨシノブ   ICHIKI Yoshinobu   市来　嘉伸    所属   埼玉医科大学  医学部 国際医療センター　呼吸器外科    職種   専任講師
論文種別	学術雑誌(原著)
言語種別	英語
査読の有無	査読なし
表題	Fenestration without rib resection for postoperative bronchopleural fistula.
掲載誌名	正式名：Surgical case reports
巻・号・頁	5(1),70-70頁
著者・共著者	Masatoshi Kanayama,Yoshinobu Ichiki,Katsuma Yoshimatsu,Yusuke Takeda,Kasumi Kusanagi,Teruaki Ishida,Masataka Mori,Hiroki Matsumiya,Yusuke Nabe,Akihiro Taira,Shinji Shinohara,Taiji Kuwata,Masaru Takenaka,Ayako Hirai,Naoko Imanishi,Kazue Yoneda,Fumihiro Tanaka
発行年月	2019/05
概要	BACKGROUND: Fenestration is performed in patients with bronchopleural fistula to avoid a life-threatening situation. However, usually, this procedure is required 9-cm mean length of the incision with rib resection. CASE PRESENTATION: A 73-year-old man underwent right lower lobectomy with lymph node dissection (ND2a-2) for primary lung cancer (cT1cN2M0 Stage IIIA) with combined pulmonary fibrosis and emphysema. He developed a bronchopleural fistula on postoperative day 20, and we performed emergency fenestration without rib resection using a Lap-protector. The patient reported minimal pain postoperatively. As the rapid deterioration of the general condition due to the recurrence of the tumor was observed at the time of his 1-year postoperative follow-up, closing of the thoracic cavity was abandoned. However, using this fenestration, the control of infection in the thoracic cavity could be sufficiently performed without complications such as pain and pneumonia, and his routine activities were unaffected postoperatively. CONCLUSION: Compared with conventional method, fenestration without rib resection using a Lap-protector is a more convenient and painless techniquefor postoperative
DOI	10.1186/s40792-019-0629-2
PMID	31049716