Simple chest closure of open window thoracostomy for postpneumonectomy empyema: a case report

被引:3
|
作者
Fukui, Tetsuya [1 ]
Matsukura, Tadashi [1 ]
Wakatsuki, Yusuke [1 ]
Yamawaki, Satoko [2 ]
机构
[1] Japanese Red Cross Fukui Hosp, Dept Gen Thorac Surg, 2-4-1 Tsukimi, Fukui, Fukui 9188501, Japan
[2] Japanese Red Cross Fukui Hosp, Dept Plast Surg, 2-4-1 Tsukimi, Fukui 9188501, Japan
关键词
Postpneumonectomy empyema; Bronchopleural fistulae; Open window thoracostomy; Omentopexy; Chest closure; ACCELERATED TREATMENT; MANAGEMENT;
D O I
10.1186/s40792-019-0612-y
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: Management of postpneumonectomy empyema requires comprehensive strategies, especially when the condition is associated with large bronchopleural fistulae. We report a case involving the simple chest closure of open window thoracostomy with remaining residual space. Case presentation: We performed open window thoracostomy for empyema with a huge bronchial stump dehiscence after right pneumonectomy for a large lung cancer. We definitively closed the chest window infected with chronic persistent Pseudomonas aeruginosa via a simple chest closure technique with the remaining residual space, after repairing the bronchial dehiscence using an omental flap and the appearance of healthy granulation tissue throughout the cavity. The patient died of recurrent cancer 10 months after the definitive chest closure. Until the patient died, there were no symptoms or signs suggestive of recurrent empyema. Conclusion: This simple chest closure technique allows "silent empyema" to be observed carefully, is less invasive, and can even be applied to cases of recurrent cancer.
引用
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页数:5
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