長期嵌在気管支異物に対する胸腔鏡下右S10区域切除

S10 Segmentectomy by Thoracoscopic Surgery for a Bronchial Foreign Body Presenting More than One Year

長期間嵌在した気管支異物は，気管支鏡下の摘出が困難であることが多い．われわれは，必要最小限の切除のための工夫として術中エコーおよび透視検査を使用し，胸腔鏡下右S10区域切除術で異物を摘出した1例を経験したので報告する．

It is often difficult to remove long-standing bronchial foreign bodies by bronchoscopy. A 77-year-old male was referred to our department for removal of a foreign body. Chest computed tomography revealed a nail in the right S10b. A bronchoscopic examination could not detect the nail due to locating beyond the subsegmental tree, so thoracoscopic right S10 segmentectomy was performed. Intraoperative ultrasonography and X-ray fluoroscopy were useful in understanding the margin for resection.