J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 2332KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 98(6): 576-579, 1997

Case report

A CASE OF EMPYEMA WITH A BRONCHOPLEURAL FISTULA TREATED BY A PEDICLE MUSCLE FLAP WITH THE THICK PARIETAL PLEURA

1) Department of Surgery Division II, Kobe University School of Medicine, Kobe, Japan
2) Department of Surgery, National Santorium Hyogo Chuo Hospital, Hyogo, Japan

Hidehiro Yamamoto1), Masayoshi Okada1), Masahiko Takada1), Gen Yamamoto2)

A 65-year-old male with a bronchopleural fistula of 10 mm in diameter underwent thoracoplasty combined with a pedicle muscle flap following open thoracic window. He had been treated by gastrectomy and right upper lobectomy because of gastric perforation and lung tuberculosis before empyema. Sterilization for the empyema cavity through the thoracic window was done for 255 days, obliteration of the empyema cavity was achieved by a muscle flap with the thick parietal pleura. The parietal pleura which was not separated from the intercostal pleura which was not separated from the intercostal muscle was used for reinforcement of hte muscle flap against the high intra-tracheal pressure. There was no postoperative relapse of empyema for 9 months.

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