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Japanese

Strategy for intractable secondary pneumothorax in awake condition. Masafumi Noda 1 , Sumiko Maeda 1 , Tetsu Sado 1 , Akira Sakurada 1 , Yasushi Hoshikawa 1 , Chiaki Endo 1 , Yoshinori Okada 1 , Takashi Kondo 1 1Department of Thoracic Surgery, Institute of Development, Aging and Cancer, Tohoku University Keyword: 気胸 , 高リスク , 意識下手術 pp.681-687
Published Date 2010/10/15
DOI https://doi.org/10.11477/mf.4426100545
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 Aim : The purpose of this clinical study is to describe the strategy for intractable pneumothorax for high-risk patients with other underlying pulmonary diseases in awake condition. Methods : For 9 high-risk patients with intractable secondary pneumothorax, thoracoscopic management was performed in awake condition.

Results : In 8 patients, the air leaks were stopped either by administering the diluted fibrin glue or by thoracoscopic procedure in awake conditions.. One pneumothorax had recurred 2 days after our procedure. No significant postoperative complication was encountered. Conclusion : It is possible to apply video-assisted thoracic procedure in the awake condition for the treatment of intractable secondary pneumothorax in high-risk patients.


Copyright © 2010, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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