A Case of Postoperative <i>MRSA</i> Empyema with Fistula Successfully Treated with Endobronchial Watanabe Spigot Occlusion Using the "Two-loop Cable Car Method"

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  • Two-loop cable car法によってEndobronchial Watanabe Spigotを誘導し気管支瘻孔を治療した術後有瘻性<i>MRSA</i>膿胸の1例

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Abstract

<p>Background. Endobronchial Watanabe Spigot (EWS) is a treatment option for bronchial fistulas. Several methods have been devised for this carrying out this treatment, including a novel two-loop cable car method, in which two loops are created along the long axis of the EWS's body. A guidewire is placed in the target bronchus and passed through the EWS's loops. The EWS is then delivered and inserted into the target bronchus along the guidewire while being controlled with grasping forceps. Case. A 75-year-old man underwent partial resection of the right lower lobe after right upper lobectomy, which was subsequently complicated with MRSA empyema and B6b bronchopleural fistula. An EWS was inserted into B6bi and B6b using the two-loop cable car method. The B6b bronchopleural fistula was occluded, and there was no recurrence of the MRSA empyema. Conclusion. The two-loop cable car method improved the operability and visual field during EWS insertion compared to the conventional method.</p>

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