학술논문
Postoperative Aspergillus empyema successfully treated with open-window thoracostomy without rib resection combined with interpleural negative pressure wound therapy - Case report / 気胸術後のアスペルギルス膿胸に対し，肋骨切除を行わない開窓術に局所陰圧閉鎖療法を併用した1例
Document Type
Journal Article
Author
Source
日本呼吸器外科学会雑誌 / The Journal of the Japanese Association for Chest Surgery. 2022, 36(2):210
Subject
Language
Japanese
ISSN
0919-0945
1881-4158
1881-4158
Abstract
We report a case of postoperative Aspergillus empyema successfully treated with a combination of open-window thoracostomy (OWT) without rib resection and interpleural negative pressure wound therapy (NPWT). A 66-year-old man with a poor general condition due to cerebral palsy underwent surgery for a left pneumothorax and developed localized Aspergillus empyema in the apex of the left lung. OWT without rib resection was performed in the second intercostal space of the anterior chest, then a Lap Protector™ (FF0504, Hakko Co., Ltd, Japan) was inserted and NPWT was started on the same day. The patient underwent thoracoscopic observation and debridement three times, and the dressing was changed every few days. On day 34 after OWT, the thoracostomy window was closed using major pectoral muscle plombage. The patient remained free from recurrence for one year after surgery.