Kyobu geka. The Japanese journal of thoracic surgery最新文献_第6页

{"title":"[Successful Surgical Treatment for Traumatic Extrapleural Hematoma in an Elderly Patient].","authors":"Yoshiki Kozu, Tomoaki Kinno, Kenji Suzuki","doi":"","DOIUrl":"","url":null,"abstract":"An 82-year-old man receiving anticoagulants was referred to our hospital with dyspnea and back pain. One day earlier, he bruised his back in his house. On arrival, the hemoglobin value was 5.6 g/dl, and computed tomography( CT) showed bilateral pleural effusion along with left lower rib fractures. In the left hemithorax, irregular high-density lesion which was surrounded by a low-density stripe was observed. He was initially diagnosed with left traumatic hemothorax, and managed through inpatient care with bed rest and blood transfusion. Although anemia was improved, bilateral compression atelectasis was observed compromising cardiopulmonary function. We therefore performed surgical treatment on the 14th hospital day. Under general anesthesia, a chest tube was inserted into the right thoracic cavity, removing 1,000 ml of serous pleural effusion. We subsequently performed a left-sided thoracotomy. After suctioning 400 ml of bloody pleural effusion, we found a pleural bulge in the posterior chest wall. Hematoma was accumulated in the extrapleural space. The parietal pleura was opened and the extrapleural hematoma was bluntly curetted and evacuated. The deviated rib fracture was repaired. Postoperative course was uneventful. He was discharged home after rehabilitation on postoperative day 54.","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"79 3","pages":"189-193"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Extensive Atrial Resection for Marked Atrial Enlargement due to Long-standing Persistent Atrial Fibrillation]. [广泛心房切除术治疗长期持续性心房颤动引起的明显心房扩大]。

Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2026-03-01

Shinji Mizuta, Satoshi Sato, Shintaro Nakajima, Akira Osanai, Junpei Yamamoto, Masaru Sawazaki

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[Non-anastomotic Pseudoaneurysm due to Sternal Wire Removal After Ascending Aorta Grafting:Report of a Case]. 【升主动脉移植术后拔除胸骨丝致非吻合性假性动脉瘤1例】。

Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2026-03-01

Tomohide Higaki, Hirotsugu Kurobe, Takuma Fukunishi, Kenji Namiguchi, Tomohisa Sakaue, Noritaka Ota, Takashi Nishimura, Hironori Izutani

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[Synchronous Double Cancer of Left Lung and Esophagus Which Was Performed Simultaneous Resection]. [同时切除的左肺、食管癌同步双癌]。

Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2026-03-01

Hirotaka Yuki, Nobuyoshi Tanaka, Hideki Fujimori

{"title":"[Synchronous Double Cancer of Left Lung and Esophagus Which Was Performed Simultaneous Resection].","authors":"Hirotaka Yuki, Nobuyoshi Tanaka, Hideki Fujimori","doi":"","DOIUrl":"","url":null,"abstract":"We report a case of synchronous double cancer involving the left lung and esophagus treated with a minimally invasive one-stage procedure combining thoracoscopic lobectomy and mediastinoscopic esophagectomy. Although a two-stage approach is often selected due to the technical complexity and invasiveness of simultaneous surgery, both tumors in this case were advanced, and a single-stage resection was considered the most appropriate option to avoid losing the opportunity for curative treatment. The postoperative course was complicated by anastomotic leakage, which was managed conservatively;however, early recurrence of esophageal cancer occurred, followed by multiple brain metastases from small cell lung carcinoma. These recurrences may have been related to limited mediastinal lymph node dissection, performed to preserve bronchial blood flow, and to the delayed initiation of adjuvant therapy due to treatment for esophageal recurrence. This case demonstrates not only the feasibility and advantage of a less invasive simultaneous approach but also emphasizes the need to optimize lymph node dissection strategies and the timing of postoperative therapy in complex synchronous malignancies.","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"79 3","pages":"163-168"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0