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Kitahara A.,Niigata Prefectural Central Hospital
Kyobu geka. The Japanese journal of thoracic surgery | Year: 2013

77-year-old man was treated by wedge resection for bronchioloalveolar carcinoma (BAC) of right upper lobe 6 years before. Follow up computed tomography (CT) performed 5 years later revealed partial thickening of the resected line of the initial surgery which was diagnosed as adenocarcinoma with bronchoscopic cytology. Thoracoscopic right upper lobectomy and nodal dissection was performed. Histological diagnosis was papillary adenocarcinoma, which was thought to be a 2nd primary lung cancer. Source


Yamazaki K.,Niigata Prefectural Central Hospital
Otolaryngology - Head and Neck Surgery (Tokyo) | Year: 2010

A 49-year-old woman presented with a left cervical swelling which suddenly developed in a short period of time. She was diagnosed of cervical lymhorrhea by the emergency lymphoscintigraphy. The idiopathic cervical lymphorrhea was rarely reported. Source


Shirato T.,Niigata Prefectural Central Hospital
Kyobu geka. The Japanese journal of thoracic surgery | Year: 2011

62-year-old man with obstructive pneumonitis due to metastatic lung cancer admitted for surgery. Anticancer chemotherapy combined with bevacizumab had been canceled 8 weeks before surgery. Right lower lobectomy and wedge resection of right upper lobe were performed. Subcutaneous emphysema and prolonged air leakage appeared 5 days after surgery. Re-operation was performed 6 days after surgery, in order to control air leakage from suture line of the lung. The reason of prolonged air leakage was possibly the side effect of bevacizumab. Source


Shirato T.,Niigata Prefectural Central Hospital
Kyobu geka. The Japanese journal of thoracic surgery | Year: 2012

59-year-old man falling from the roof was transported to our hospital by ambulance. When thoracic drainage was done for tension pneumothorax of the left lung, massive intrathoracic hemorrhage was noted as well. Chest computed tomography (CT) revealed contusion of left lower lobe. Emergency operation was done, but complete hemostasis was not achieved. To control hemorrhage from lung, intrathoracic packing was performed. After improving general condition, left pneumonectomy could be performed by 2nd operation. His postoperative course was uneventful. Source


Gotoh T.,Niigata Prefectural Central Hospital
Kyobu geka. The Japanese journal of thoracic surgery | Year: 2013

A 59-year-old man was diagnosed as Aspergillus empyema with fistula after left upper lobectomy and radiation therapy. His pyrexia was continued after conservative treatment with antifungal agents. Initially, fenestration and vacuum-assisted closure (VAC) therapy were performed. The Aspergillus terreusdisappeared and inflammatory reactions were normalized. Eight days after fenestration, pectoralis major muscle flap transposition was subsequently performed. His postoperative course was uneventful. No recurrent empyema was found 15 months after surgery. Source

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