Two Cases of a Fistula Empyema in Which Surgery Was Avoided by Bronchial Embolization Using an Endobronchial Watanabe Spigot and Drainage with a Digitalized Chest Drainage System (Thopaz+™)
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- Fujiwara Taiki
- Department of Thoracic Surgery, Kimitsu General Hospital
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- Naito Jun
- Department of Thoracic Surgery, Kimitsu General Hospital
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- Uematsu Yasufumi
- Department of Thoracic Surgery, Kimitsu General Hospital
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- Morimoto Junichi
- Department of Thoracic Surgery, Kimitsu General Hospital
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- Shiba Mitsutoshi
- Department of Thoracic Surgery, Kimitsu General Hospital
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- Iida Tomohiko
- Department of Thoracic Surgery, Kimitsu General Hospital
Bibliographic Information
- Other Title
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- EWSによる気管支充填術と電動式低圧吸引器（Thopaz＋™）によるドレナージにより手術を回避できた有瘻性膿胸の2例
Abstract
<p>Background. A fistula empyema often requires surgery, such as fenestration, but there are reports that surgery can be avoided with bronchial embolization. Case 1. A 76-year-old man was admitted to our hospital due to increasing dyspnea of several days' duration. He was diagnosed with a fistula empyema and treated with chest tube drainage and antibiotics. Because air leakage persisted, bronchial embolization using an Endobronchial Watanabe Spigot (EWS) was performed on the 8th day of hospitalization. The air leakage resolved, and on the 11th hospital day, suction with a digitalized chest drainage system (Thopaz+™) was started. The thoracic cavity with the empyema gradually contracted, and the drain was removed on the 19th hospital day. Case 2. A 47-year-old man was admitted to our hospital for the evaluation of a cough and pleural effusion. He was diagnosed with a fistula empyema and treated with chest tube drainage and antibiotics. Because air leakage persisted, as in Case 1, bronchial embolization using an EWS was performed on the 4th day of hospitalization. The air leakage resolved, and on the 5th hospital day, suction with a digitalized chest drainage system was started. The thoracic cavity with the empyema gradually contracted, and the drain was removed on the 18th hospital day. Conclusion. We successfully managed 2 patients in whom surgery was avoided by bronchial embolization using an EWS, followed by stable negative-pressure drainage using a digitalized chest drainage system.</p>
Journal
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- The Journal of the Japan Society for Respiratory Endoscopy
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The Journal of the Japan Society for Respiratory Endoscopy 44 (1), 20-26, 2022-01-25
The Japan Society for Respiratory Endoscopy
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Details 詳細情報について
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- CRID
- 1390009692524886144
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- NII Article ID
- 130008163141
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- ISSN
- 21860149
- 02872137
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- Text Lang
- ja
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- Data Source
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- JaLC
- CiNii Articles
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- Abstract License Flag
- Disallowed