{"title":"心包脂肪填充法治疗难治性继发性自发性气胸","authors":"Satoshi Takamori, Marina Nakatsuka, Makoto Endo","doi":"10.1111/ases.70109","DOIUrl":null,"url":null,"abstract":"<p>The treatment of intractable secondary spontaneous pneumothorax is challenging. A 74-year-old man with combined pulmonary fibrosis and emphysema developed a left secondary pneumothorax. The perforated bullae were ligated during the first surgery; however, the pneumothorax recurred. During the second surgery, the pulmonary fistula was filled with pericardial fat, and the fistula was sutured closed using a pericardial fat pad. No air leakage or recurrence was observed postoperatively. This novel method may effectively seal pulmonary fistulas causing intractable secondary spontaneous pneumothorax.</p>","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"18 1","pages":""},"PeriodicalIF":0.9000,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ases.70109","citationCount":"0","resultStr":"{\"title\":\"Pericardial Fat Filling Method for Intractable Secondary Spontaneous Pneumothorax\",\"authors\":\"Satoshi Takamori, Marina Nakatsuka, Makoto Endo\",\"doi\":\"10.1111/ases.70109\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p>The treatment of intractable secondary spontaneous pneumothorax is challenging. A 74-year-old man with combined pulmonary fibrosis and emphysema developed a left secondary pneumothorax. The perforated bullae were ligated during the first surgery; however, the pneumothorax recurred. During the second surgery, the pulmonary fistula was filled with pericardial fat, and the fistula was sutured closed using a pericardial fat pad. No air leakage or recurrence was observed postoperatively. This novel method may effectively seal pulmonary fistulas causing intractable secondary spontaneous pneumothorax.</p>\",\"PeriodicalId\":47019,\"journal\":{\"name\":\"Asian Journal of Endoscopic Surgery\",\"volume\":\"18 1\",\"pages\":\"\"},\"PeriodicalIF\":0.9000,\"publicationDate\":\"2025-06-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ases.70109\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Asian Journal of Endoscopic Surgery\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/ases.70109\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Asian Journal of Endoscopic Surgery","FirstCategoryId":"1085","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/ases.70109","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
Pericardial Fat Filling Method for Intractable Secondary Spontaneous Pneumothorax
The treatment of intractable secondary spontaneous pneumothorax is challenging. A 74-year-old man with combined pulmonary fibrosis and emphysema developed a left secondary pneumothorax. The perforated bullae were ligated during the first surgery; however, the pneumothorax recurred. During the second surgery, the pulmonary fistula was filled with pericardial fat, and the fistula was sutured closed using a pericardial fat pad. No air leakage or recurrence was observed postoperatively. This novel method may effectively seal pulmonary fistulas causing intractable secondary spontaneous pneumothorax.
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