[Abstract] [Full Text PDF] (in Japanese / 1526KB) [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 100(11): 761-764, 1999


Case report

PLEURAL EMPYEMA COMPLICATED BY SPONTANEOUS PNEUMOTHORAX TREATED WITH THORACOSCOPIC DEBRIDEMENT AND PLEURAL IRRIGATION : CASE REPORT

Department of Thoracic and Cardiovasucular Surgery, Sapporo General Hospital of Hokkaido Railway Company, Sapporo, Japan

Norio Inoue, Tokuo Kosino

A 69-year-old man who had experienced spontaneous left pneumothorax one week previously was admitted to our hospital for the management of left empyema thoracis. Because the symptons did not resolve with antibiotic therapy and chest tube drainage, thoracoscopic debridement and pleural irrigation were performed in the fibrinopurulent phase 4 days after admission. The postoperative course was uneventful. This procedure is minimally invasive and effective in the treatment of acute empyema.


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