• Title/Summary/Keyword: Pulmonary resection

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A Clinical Study of Pulmonary Resections Using A Stapling Device (Stapler 를 이용한 폐 절제술에 관한 임상적 고찰)

  • Park, Ju-Sup;, Min-Joon;Hwang, Jeong-Yeol
    • Journal of Chest Surgery
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    • v.10 no.2
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    • pp.190-194
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    • 1977
  • An analysis of 503 pulmonary resection is presented, with the following points of interest; 1] By using a stapling device, the operation time is shortened, more lung tissue can be saved, and post-operative complications are fewer. 2] By comparison with a previous series, postoperative drainage from the chest is decreased when the stapling device is used. In the present series 82% of patients has less than 500 cc of drainage post-operatively. Average required whole blood replacement was less than 800 cc in this series of patients. 3] Only 13 patients, or 2.6% developed a bronchopleural fistula, and only 8 patients, or 1.5% developed post-operative empyema when the stapling device was used. 4] Because of the decreased air leaks when the stapling device is used, the anterior and posterior tubes can be removed sooner. 5] With careful preservation of lung tissue and paralysis of the phrenic nerve, post operative `dead space" is not a problem after the pulmonary lobectomy. Thus thoracoplasty is not necessary to eliminate "dead space".

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The Adult Form of Pulmonary Hamartoma -Two Case Report- (폐(肺)에 발생한 Hamartoma 치험 2예)

  • Lee, D.Y.;Yoon, Y.J.;Cho, B.K.;Hong, S.N.;Rkee, O.S.;Choi, I.J.
    • Journal of Chest Surgery
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    • v.9 no.1
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    • pp.90-93
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    • 1976
  • Pulmonary hamartoma is often incidental, asymptomatic finding on routine chest roentgenogram. It has been considered a congenital malformation. Since the original description by Albrecht in 1908, it has been classified into two types, a small, fibrocartilaginous mass in adults, and a cystic lobar mass in infants. We experienced two cases of pulmonary hamartoma which proved to be the adult form of hamartoma. One was located in left upper lobe of a 58 year old male patient, the other was located in the perihilar region of the right middle lobe of a 38 year old male patient. The former case was treated by wedge resection: the latter by right middle lobectomy and the postoperative courses of both cases were very good and without complication.

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Operation of Tricuspid Valve Endocarditis with Pulmonary Infarction - Lobectomy with Open Heart Surgery (폐경색을 동반한 삼천판막 심내막염의 수술치험 -폐엽 절제술과 개심술의 동시 수술-)

  • 김성완;김덕실;조준용;전상훈;이응배;장봉현;이종태;김규태
    • Journal of Chest Surgery
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    • v.36 no.10
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    • pp.776-779
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    • 2003
  • An eight-year-old boy was referred to our hospital with cough and high fever. His past medical history included a small sized ventricular septal defect (VSD) at birth. Transthoracic echocardiography disclosed a 10 x 6 mm vegetation on tricuspid valve, a small VSD and the moderate tricuspid valve insufficiency were found. Blood cultures grew methicillin-resistant staphylococcus aureus. Despite proper antibiotic therapy, fever was not controlled and his course was complicated by pulmonary infarction. The patient simultaneously underwent pulmonary resection and open heart surgery. Through the median sternotomy we performed open thrombectomy and lobectomy (right lower lobe) at first, and then vegetectomy, tricuspid valve repair, and direct closure of VSD were done under cardiopulmonary bypass.

Multifocal nodular lymphoid hyperplasia of the lung

  • Lee, Gil Tae;Kim, Eun Kyoung;Cho, Eirie;Lee, Seung-Sook;Kim, Seo Yun;Kim, Cheol Hyeon;Kim, Hye-Ryoun
    • Journal of Yeungnam Medical Science
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    • v.34 no.1
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    • pp.84-87
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    • 2017
  • Nodular lymphoid hyperplasia (NLH) is a benign lymphoproliferative disease that can affect the lung. Because of its rarity, little is known about the etiology and natural history of NLH. Most cases are usually asymptomatic and found incidentally on imaging studies. Imaging finding of NLH has shown most commonly as a solitary lesion, although multifocal pulmonary nodules may be seen. Surgical resection has proved curative in the cases previously described. We report a rare case of NLH in a 55 year-old man who presented with bilateral multiple pulmonary nodules on chest radiography. Open biopsy was performed from the upper and lower lobe of the left lung. The lesions were pathologically diagnosed as pulmonary NLH. Multifocal residual nodules in both lungs remain stable without spontaneous regression during the 3 years of follow-up.

Pulmonary Features of Hyperimmunoglobulin E (Job's) Syndrome (Hyperimmunoglobulin E (Job's) syndrome에서 발현되는 호흡기증상)

  • Min, Byoung-Ju;Shin, Jae-Seung;Lee, In-Sung;Shin, Young-Kyoo
    • Tuberculosis and Respiratory Diseases
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    • v.52 no.6
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    • pp.651-656
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    • 2002
  • Hyperimmunoglobulin E syndrome, otherwise known as Job's syndrome, is an immune disorder characterized by an abnormal elevation of the circulating immunoglobulin E level, and recurrent infections of the skin and sinopulmonary tract. The syndrome has various pulmonary features, e.g., pneumonia, pneumatocele, pneumothorax, lung abscesses and empyema. We report a case of hyperimmunoglobulin E syndrome, with various respiratory clinical manifestation. Medical therapy, including prophylactic antibiotics, has been the cornerstone for the treatment of hyperimmunoglobulin E syndrome. Even if surgical intervention is required, minimal pulmonary parenchymal resection is recommended.

A Case of Mucoepidermoid Carcinoma in Pulmonary Tuberculosis Patient (폐결핵 환자에서 발생한 점액표피양 암종 1예)

  • Jeong, Jae-Man;Song, Ju-Young;Hong, Jae-Rack;Kim, Young-Jun;Kim, Moon-Shik
    • Tuberculosis and Respiratory Diseases
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    • v.41 no.4
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    • pp.429-434
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    • 1994
  • Mucoepidermoid carcinoma of lung are rare carcinoma arising from the submucosal glands tissue of the proximal tracheobronchial tree. The carcinoma can be divided into low grade and high grade varienties. The most important factors in the prognosis include histological grading and the ability to achieve a complete surgical resection. We experienced a case of high grade mucoepidermoid carcinoma in pulmonary tuberculosis patient of 67 years old male who has been suffered from left chest pain for several weeks. He was not treated and died seventeen months later.

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Treatment of Chronic Empyema with Autologous Tissues (자가조직을 이용한 만성 농흉의 치료)

  • Hur, J.;Jang, B.H.;Lee, J.T.;Kim, K.T.
    • Journal of Chest Surgery
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    • v.25 no.8
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    • pp.850-855
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    • 1992
  • Dead space of empyema occurrs from incomplete obliteration of infected pleural space from pulmonary tuberculosis, pyogenic infection, esophageal disease and post pulmonary resection. Chronic empyema can be treated by obliteration of dead space with autologous tissues such as, extrathoracic muscle flap and omental flap and thorachoplasty. Between May, 1986 to July, 1991 we treated 17 chronic empyema patients with autologous tissues and analysed the result. 1. Sex distribution was 14 males and 3 females between 5~62 years old. [mean 39.7 years old] 2. The volume of the dead space ranged from 100 to 450cc. [mean 213. 76cc] 3. The majority of used muscle flap were serratus anterior and latissimus dorsi, and there were 2 cases of am ntal flap. 4. The majority of underlying disease were pulmonary tuberculosis and there were 8 BPF[47%] in 17 patients 5. In 7 cases, thorachoplsty was needed. 6. Three cases recurred and there were no death.

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A Case of Pulmonary Endometriosis Causing Catamenial Hemoptysis (월경시 객혈을 동반한 폐 자궁내막증 치험 1예)

  • Jang, Won-Chae;Yu, Ung;Kim, Byong-Pyo;Choi, Yong-Sun;Hong, Sung-Bum;Oh, Bong-Suk
    • Journal of Chest Surgery
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    • v.37 no.1
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    • pp.95-97
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    • 2004
  • Pulmonary endometriosis is a rare disorder. We report a case of a 38-year-old woman with a 10-year history of catamenial hemoptysis due to pulmonary endometriosis which was diagnosed by CT during menstruation and treated successfully by wedge-resection of the right middle lobe. Medical therapy with hormones was not performed, There is no evidence of recurrence 5 months after the operation.

Ruptured Mature Cystic Teratoma Involving Pulmonary Artery - A case report- (폐동맥을 침범한 파열된 성숙 낭포성 기형종 - 1예 보고 -)

  • Lim, Sung-Chul;Kim, Byong-Pya;Oh, Bong-Suk;Jang, Won-Chae
    • Journal of Chest Surgery
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    • v.37 no.8
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    • pp.711-714
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    • 2004
  • We report a case of mature cystic teratoma of the anterior mediastinum that ruptured into the pulmonary artery requiring an emergent surgical treatment. A 39-year-old woman presented an episode of massive hemoptysis and treated with bronchial artery embolization (BAE). On the 10th day after BAE, however, she developed sudden massive hemoptysis and had a deteriorated mental status. For a definitive treatment, she underwent the left pneumonectomy and the tumor resection in the anterior mediastinum. On histologic examination, the tumor disclosed cystic structures composed of mature squamous epithelium, pilosebaceous glands, mature fat tissue, cartilage and bone tissue. Also, there was intrapulmonary hemorrhage due to left pulmonary artery invasion of the tumor.

Long-term Survival following Surgical Resection for Recurrence of Pulmonary Pleomorphic Carcinoma (폐에 발생한 다형태 암종 환자에서 전이부위 절제술 후 장기 생존)

  • Lee, Jin-Gu;Park, In-Kyu;Kim, Dae-Joon;Byeon, Cheon-Sung;Cho, Sang-Ho;Chung, Kyung-Young
    • Journal of Chest Surgery
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    • v.40 no.8
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    • pp.587-589
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    • 2007
  • Pulmonary pleomorphic carcinomas are rare malignant tumors that account for 0.1 to 0.4% of all lung cancers. They are notable for their aggressive clinical behavior and poor prognosis. We report here on a patient who is alive and disease-free 12 years after receiving surgical treatment for the rib recurrence of pulmonary pleomorphic carcinoma.