[A case of surgical treatment for a bilateral pneumothorax that occurred in a patient with severe asbestosis and advanced emphysema].

Takeshi Kurihara, Daigo Kawano, Tatsuro Okamoto, Takatoshi Fujishita, Yuzo Suzuki, Hirokazu Kitahara, Shinichiro Shimamatsu, Mikihiro Kouno, Yousuke Morodomi, Yoshihiko Maehara

Research output: Contribution to journalArticle

Abstract

A 71-year-old male with a history of asbestosis was referred to our department for the treatment of a bilateral pneumothorax. His pulmonary function was severely impaired because of asbestosis and emphysema. Chest computed tomography showed severe emphysema with bilateral multiple bullae. Although chest drainage tubes were placed in the bilateral thorax, the left lung did not completely expand due to a persistent air leak. We performed VATS while retaining the patient's spontaneous respiration under general sedation with regional epidural anesthesia, since one-lung, positive pressure ventilation was considered to be difficult to achieve. After the airway was secured by a laryngeal-mask, the bullae were then thoracoscopically resected. The pneumothorax improved after surgery.

Original languageEnglish
Pages (from-to)28-31
Number of pages4
JournalFukuoka igaku zasshi = Hukuoka acta medica
Volume105
Issue number1
Publication statusPublished - Jan 1 2014

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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    Kurihara, T., Kawano, D., Okamoto, T., Fujishita, T., Suzuki, Y., Kitahara, H., Shimamatsu, S., Kouno, M., Morodomi, Y., & Maehara, Y. (2014). [A case of surgical treatment for a bilateral pneumothorax that occurred in a patient with severe asbestosis and advanced emphysema]. Fukuoka igaku zasshi = Hukuoka acta medica, 105(1), 28-31.