A case of pleuroperitoneal communication caused by ascites due to portal vein thrombosis successfully treated by video-assisted thoracoscopic surgery (VATS) using a stapler with polyglycolic acid (PGA) sheet

  • Ogoshi Yusuke
    Department of Thoracic Surgery, Kobe City Medical Center West Hospital
  • Takeo Masahiko
    Department of Thoracic Surgery, Kobe City Medical Center West Hospital
  • Katsuyama Eiji
    Department of Pathology, Kobe City Medical Center West Hospital

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  • 門脈血栓症が原因で発症した肝性胸水を伴う横隔膜交通症に対して補強材付き縫合器を用いた胸腔鏡下手術で根治した一例

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<p>A 67-year-old man who underwent cholecystectomy developed portal vein thrombosis due to postoperative cholangitis. One year after surgery, he noticed weight gain and ascites, and treatment with diuretics was started. Despite the treatment, pleural effusion appeared, and he was admitted to our hospital for dyspnea due to increased pleural effusion.</p><p>As a chest radiograph revealed marked pleural effusion on the right side, chest drainage was performed.</p><p>He was diagnosed with pleuroperitoneal communication and underwent video-assisted thoracoscopic surgery (VATS). A small hole in the diaphragm was confirmed by thoracoscope, and the diaphragm including the hole was resected using a stapler with polyglycolic acid (PGA) sheet. There was no recurrence of the pleural effusion. In the treatment of pleuroperitoneal communication, VATS using a stapler with PGA sheet is a feasible method for closure of a diaphragmatic hole.</p>

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