Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Bronchoesophageal Fistula Complicated by Broncholithiasis in a Patient with Silicosis - 1 case -

규폐증 환자에서 기관지 결석증으로 인한 기관지식도루 -1예 보고-

  • Hwang You-Ju (Department of Cardiovascular and Thoracic Surgery, Gachon Medical School, Gil Heart Center) ;
  • Jeon Yang-Bin (Department of Cardiovascular and Thoracic Surgery, Gachon Medical School, Gil Heart Center) ;
  • Park Chul-Hyun (Department of Cardiovascular and Thoracic Surgery, Gachon Medical School, Gil Heart Center) ;
  • Park Kook-Yang (Department of Cardiovascular and Thoracic Surgery, Gachon Medical School, Gil Heart Center) ;
  • Lee Jae-Ik (Department of Cardiovascular and Thoracic Surgery, Gachon Medical School, Gil Heart Center)
  • 황여주 (가천의대 길병원 심장센터 흉부외과) ;
  • 전양빈 (가천의대 길병원 심장센터 흉부외과) ;
  • 박철현 (가천의대 길병원 심장센터 흉부외과) ;
  • 박국양 (가천의대 길병원 심장센터 흉부외과) ;
  • 이재익 (가천의대 길병원 심장센터 흉부외과)
  • Published : 2005.06.01
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Abstract

Broncholithiasis is uncommon in patients with silicosis. Bronchoesophageal fistula complicated by broncholithiasis is especially rare and only one case has been reported in Korea. Surgical treatment of broncholithiasis should be as conservative as possible to preserve the adequate pulmonary function. Meticulous dissection and division of the fistula with the interposition of viable tissues will prevent recurrence, We report a rare case of bronchoesophageal fistula complicated by broncholithiasis in a patient with silicosis.

규폐증 환자에서 기관지 결석증은 드물게 발생판다. 특히 기관지 결석증의 합병증으로 기관지식도루가 발생한 예는 매우 드물어 국내에서는 1예 보고된 바 있다. 기관지 결석증과 기관지 식도루의 수술치료는 손상되지 않은 폐실질을 최대한 보존하고, 누공의 비혈관성 조직들을 완전히 제거하여 식도와 기관지 봉합 부위를 흉막 피판이나 늑간근 피판으로 완전히 감싸주는 것이 중요하다. 저자들은 규폐증 환자에서 기관지 결석증으로 인한 기관지식도루 1예를 수술 치험하였기에 이를 보고하는 바이다.

Keywords

References

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