[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai最新文献_第9页

[Two resected cases of cavitary lung cancer with pulmonary aspergillosis]. [腔型肺癌合并肺曲霉病切除2例]。

[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai Pub Date : 1997-09-01

I Kamiya

引用次数: 0

[An experience of the modified Norwood's operation for hypoplastic left heart syndrome with aberrant origin of right subclavian artery and persistent left superior vena cava--the procedure without total circulatory arrest and cardiac arrest]. 改良诺伍德手术治疗左心发育不全综合征伴右锁骨下动脉起源异常和持续性左上腔静脉的经验——无全循环骤停和心脏骤停。

[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai Pub Date : 1997-09-01

S Yokoyama, K Matsuo, T Fujiwara, T Jibiki, Y Okajima, H Aotsuka

引用次数: 0

[A case of recurrent bronchogenic cyst 15 years after initial operation]. [术后15年支气管源性囊肿复发1例]。

[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai Pub Date : 1997-09-01

T Konobu, Y Saitoh, M Umemoto, Y Nakao, H Imamura, A Okamura

{"title":"[A case of recurrent bronchogenic cyst 15 years after initial operation].","authors":"T Konobu, Y Saitoh, M Umemoto, Y Nakao, H Imamura, A Okamura","doi":"","DOIUrl":"","url":null,"abstract":"There are few reports on the postoperative recurrence of bronchogenic cysts. We conducted a re-operation on a 57-year-old man with a bronchogenic cyst 15 years after an initial operation. His history showed an earlier operation for a bronchogenic cyst at the age of 42 at another hospital. 15 years after this initial operation, he suffered from common cold like symptoms, and was referred to our hospital, because of an abnormal shadow on his chest X-ray. A chest CT and MRI revealed an oval tumor just under the right intermediate bronchus. We suspected it was a recurrence of the bronchogenic cyst, and an operation was performed. The cyst was firmly adhered to the lung, and at the upper site of the cyst, a region adjacent to the intermediate bronchus was adhered to the bronchial wall. The histological findings were similar to those of 15 years previously. The cyst wall lined with pseudostratified columnar ciliary epithelium with muscular layer, which led to a diagnosis of a bronchogenic cyst. Congenital cysts, including bronchogenic cysts, are considered to originate in abnormal primordia. If there are remaining abnormal primordia, a recurrence of the disease can occur.","PeriodicalId":6434,"journal":{"name":"[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1997-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20274275","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

[DDD pacemaker implantation--cardiac pacemaker tips in the left atrium and ventricle by the left thoracotomy]. [DDD起搏器植入-心脏起搏器尖端在左心房和左心室通过左开胸]。

[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai Pub Date : 1997-09-01

N Ozaki, M Yamaguchi, H Ohashi, M Imai, Y Oshima, T Kumamoto

引用次数: 0

[A case of traumatic cardiac contusion accompanied by the rupture of pericardium]. 外伤性心挫伤伴心包破裂1例。

[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai Pub Date : 1997-09-01

K Imasaka, J Yoshida, T Iwai, M Sakamoto, M Yoshitoshi, M Akao

引用次数: 0

[Clinical results of single-stage mobilization of pectoral muscle flaps and omental transposition for infected mediastinitis after open heart surgery]. [单期胸肌瓣动员及大网膜转位治疗心内直视术后感染性纵隔炎的临床结果]。

[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai Pub Date : 1997-09-01

T Asakura, K Aoki, M Tadokoro, T Nakagawa, S Furuta

{"title":"[Clinical results of single-stage mobilization of pectoral muscle flaps and omental transposition for infected mediastinitis after open heart surgery].","authors":"T Asakura, K Aoki, M Tadokoro, T Nakagawa, S Furuta","doi":"","DOIUrl":"","url":null,"abstract":"The purpose of this study was to retrospectively evaluate the outcome of refractory infected mediastinitis managed primarily with mobilization of pectoral muscle flaps and omental transposition. From January 1992 to December 1995, infected mediastinitis occurred in 11 (2.5%) of 447 consecutive patients. All patients required sternal debridement. The wound was thoroughly irrigated with a solution of 0.5% povidone-iodine in physiological saline after debridement and then the defect was repaired. Reconstruction of the chest wall was attained using pectoral muscle flaps in seven patients and pectoral muscle flaps and omental transposition in four. Antibiotic therapy was provided for 6 weeks or more according to the regimen in North America. No hospital deaths occurred after surgery. Significant early complications occurred in four patients. The reasons for the prolonged hospitalization were a recurrent wound infection, prosthetic valve endocarditis and saphenous vein graft pseudoaneurysm formation caused by Methicillin-resistant Staphylococcus aureus (MRSA) and Methicillin-resistant Staphylococcus epidermidis (MRSE). Length of stay in ICU after surgical treatment was range 1 to 140 days (an average of 11 +/- 3 days in 9 patients without complications in ICU). Duration between surgical treatment and discharge was range 47 to 300 days (an average of 58 +/- 8 days in 7 patients without significant early complications). At the time of this report, the patients are doing well with no signs of recurrence of infection. The mean follow-up was 28.8 months (range 8 to 48 months). We conclude that single-stage mobilization of pectoral muscle flaps together with omental transposition is very usefull for managing refractory infected mediastinitis. But careful follow-up is needed after this procedure in case of MRSA-caused mediastinitis because of its tendency to recur.","PeriodicalId":6434,"journal":{"name":"[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1997-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20274271","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

[50th annual meeting of the Japanese Association for Thoracic Surgery. October 1-3, 1997. Tokyo, Japan. Abstracts]. [第50届日本胸外科协会年会]。1997年10月1日至3日。东京,日本。摘要]。

[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai Pub Date : 1997-09-01

引用次数: 0

[One stage operation for sternal turnover with preserved rectus muscle pedicles and aortic root replacement associated with Marfan's syndrome]. [马凡氏综合征合并保留直肌蒂胸骨翻转和主动脉根置换术一期手术]。

[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai Pub Date : 1997-09-01

J Hirota, K Akiyama, M Takiguchi, S Osawa, S Sasaki, T Nagumo

{"title":"[One stage operation for sternal turnover with preserved rectus muscle pedicles and aortic root replacement associated with Marfan's syndrome].","authors":"J Hirota, K Akiyama, M Takiguchi, S Osawa, S Sasaki, T Nagumo","doi":"","DOIUrl":"","url":null,"abstract":"A 40-year-old man with Marfan's syndrome had annulo aortic ectasia with Sellers grade 4 aortic valve regurgitation and Wada grade 3 pectus excavatum. Simultaneous operation was successfully performed by aortic valve composite graft insertion and sternal turnover with the rectus muscle pedicles. Following a midline skin incision, the cost-sterno complex (plastron) was dissected together with the bilateral rectus muscle pedicles, and the sternum was divided transversely through the second intercostal space. The plastron with muscle pedicles was retracted away from the anterior chest toward the abdomen and was covered by the moistened sternal bag made of polyethylene to prevent dryness and contamination during the composite graft insertion. The aortic root was replaced with a composite graft consisting of a 25 mm SJM valve and a 26 mm Hemashield graft. A short interposed 10 mm Hemashield graft was inserted between the ostia of the left coronary artery and the composite graft. The right coronary artery was reimplanted in the aortic conduit using the button technique with a doughnut pledget. This one stage method offered excellent operative exposure and enabled us to prevent possible necrosis of the sternum, infection of the mediastinal sinus, and postoperative cardiac failure resulting from chest wall compression. In this procedure, active usage of the rapid autologous transfusion system effectively reduced the total amount of blood transfusion.","PeriodicalId":6434,"journal":{"name":"[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1997-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20274051","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

[Ruptured thymic cysts with mediastinal hemorrhage and hemothorax--a case report and reviews of the literature]. 【胸腺囊肿破裂合并纵隔出血和血胸——1例报告及文献复习】。

[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai Pub Date : 1997-09-01

K Tsuda, I Yoshida, K Ohshima, Y Morishita

引用次数: 0

[Thoracoscopic enucleation of esophageal leiomyoma]. 胸腔镜下食管平滑肌瘤切除术。

[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai Pub Date : 1997-09-01

M Takemura, M Higashino, H Osugi, T Tokuhara, N Takada, H Kinoshita

{"title":"[Thoracoscopic enucleation of esophageal leiomyoma].","authors":"M Takemura, M Higashino, H Osugi, T Tokuhara, N Takada, H Kinoshita","doi":"","DOIUrl":"","url":null,"abstract":"We treated four cases of thoracoscopic enucleation of esophageal leiomyoma. All four cases were asymptomatic, but either barium swallow or esophagofiberscopic examination revealed esophageal submucosal tumor. The locations of the tumors were middle and lower in one case and middle in the other three cases. All patients were intubated with a double lumen endotracheal tube under general anesthesia. Two patients required thoracotomy due to the tumor surrounding the esophageal wall in one case and severe adhesion to the esophageal mucosa in the other. The mini-thoracotomy was used in three cases. In the other two cases, we used four and three trocars, respectively. The balloon catheter, which had been inserted into the esophageal lumen, was useful for removing the tumor. The tumor was pulled up using the traction suture and dissected from the mucosa and muscular layer. After enucleation of the leiomyoma, the split muscular layer was sutured. The postoperative course was uneventful. These two patients were discharged on the 12th and 15th postoperative days, respectively. We conclude that the thoracoscopic enucleation of the esophageal leiomyoma is useful for reduction of surgical stress and is a more feasible approach for the treatment of esophageal leiomyoma.","PeriodicalId":6434,"journal":{"name":"[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1997-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20274059","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