Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Treatment of Localized Large Emphyssematous Bullae with Intracavitary Drainage Modified Monaldi Procedure -1 Case Report-

폐기종 환자에서 기낭내 흡인술 [변형 Monaldi 술식]를 이용한 거대 폐기낭의 치료 -1예 보고-

  • Lee, Song-Am (Dept. of Thoracic and Cardiovascular Surgery, Konkuk University College of Medicine) ;
  • Kim, Kwang-Taik (Dept. of Thoracic and Cardiovascular Surgery, Anam Hospital, Korea University Medical Center) ;
  • Son, Ho-Sung (Dept. of Thoracic and Cardiovascular Surgery, Anam Hospital, Korea University Medical Center) ;
  • Lee, Sung-Ho (Dept. of Thoracic and Cardiovascular Surgery, Anam Hospital, Korea University Medical Center) ;
  • Park, Sung-Min (Dept. of Thoracic and Cardiovascular Surgery, Anam Hospital, Korea University Medical Center) ;
  • Sun, Kyung (Dept. of Thoracic and Cardiovascular Surgery, Anam Hospital, Korea University Medical Center) ;
  • Kim, Yo-Han (Dept. of Thoracic and Cardiovascular Surgery, Konkuk University College of Medicine)
  • 이송암 (건국대학교 의과대학 흉부외과교실) ;
  • 김광택 (고려대학교 의과대학 흉부외과학교실) ;
  • 손호성 (고려대학교 의과대학 흉부외과학교실) ;
  • 이성호 (고려대학교 의과대학 흉부외과학교실) ;
  • 박성민 (고려대학교 의과대학 흉부외과학교실) ;
  • 선경 (고려대학교 의과대학 흉부외과학교실) ;
  • 김요한 (건국대학교 의과대학 흉부외과교실)
  • Published : 2004.09.01
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Abstract

A 67-year-old male with a 6-year history of emphysema was admitted with severe dyspnea. On chest computed tomographic scan, a newly developed large bulla was detected in right lower hemithorax. This bulla was sucessfully managed by intracavitary drainage ［modified Monaldi procedure］ with symptomatic improvement. We report this case with review of the literature.

폐기종 및 재발성 기흉의 과거력이 있는 67세 남자가 갑자기 악화된 호흡곤란을 주소로 내원하였다. 흉부 전산화 단층촬영상 우하엽에 새로 발생한 폐기낭으로 인하여 심장이 좌측으로 전위되어 있는 소견을 보였다. 폐기낭 흡인술(변형 Monaldi 술식)로 성공적으로 치료되었으며 수술 후 환자의 증상은 개선되었다. 저자들은 거대 폐기낭으로 인해 심폐기능이 악화된 폐기종 환자에서 변형 Monaldi 술식으로 치료하여 좋은 결과를 치험하였기에 문헌고찰과 함께 보고하는 바이다.

Keywords

References

  1. General thoracic surgery (5th ed.) Bullous and bleb diseases, emphysema of the lung, and lung volume reduction operations Deslauriers J;LeBlanc P;Shields TW;LoCicero J;Ponn RB
  2. Ann Thorac surg v.64 no.5 History of emphysema surgery Naef AP
  3. J Thorac Cardiovasc Surg v.91 no.1 Bullectomy for giant bullae in emphysema Laros CD;Gelissen HJ;Bergstein PG(et al.)
  4. Lancet v.337 Thoracoscopic carbon dioxide laser treatment of bullous emphysema Wakabayashi A;Brenner M;Kayaleh RA(et al.)
  5. Thorax v.32 Intracavitary suction and drainage in the treatment of emphysematous bullae MacArthur AM;Fountain SW
  6. Thorax v.43 no.12 Intracavity drainage for bullous, emphysematous lung disease: experience with the Brompton technique Venn GE;Williams PR;Goldstraw P
  7. Ann Thorac Surg v.58 no.5 Surgical treatment of bullous emphysema: experience with the Brompton technique Shah SS;Goldstraw P
  8. Ann Thorac Surg v.49 no.5 Surgery of giant bulla with tube drainage and bronchofiberoptic bronchial occlusion Oizumi H;Hoshi E;Aoyama K(et al.)