Successful Two-Stage Surgical Treatment for Lung Cancer in a Patient with Contralateral Giant Emphysematous Bullae

• 作者: Ai Maeda Katsuhiko Shimizu Kouichiro Yasuda Masao Nakata Riki Okita Shinsuke Saisho Takuro Yukawa Yuji Hirami
• 来源期刊: 胸外科期刊(英文)
• 学科: 医学
• 关键词: GIANT Emphysematous BULLA Pulmonary Function Bullectmy Lung-Cancer Surgery
• 年，卷（期）: 2012,（4）
• 页码范围: 133-135
• 页数: 3页
• 分类号: R73

摘要

A 67-year-old man was referred for further evaluation of an abnormal chest roentgenogram. Computed tomography showed a 40 × 30 mm mass in the left upper lobe. A giant bulla occupying about two-thirds of the right thorax was found compressing the adjacent lung parenchyma, shifting the mediastinum to the left. The mass was a primary lung cancer, clinical T2aN0M0, stage IB. Preoperative respiratory function evaluation showed poor pulmonary function, with a forced expiratory volume in 1 second of 1070 ml (29.2% of predicted). Therefore, we first performed giant bullectomy by video-assisted thoracoscopic surgery. At 1 month after this operation, improvement of the forced expiratory volume in 1 second significantly to 2140 ml (80.1% of predicted) was observed. Therefore, we performed resection for the tumor. He was discharged after an uneventful postoperative course, and has remained in good condition for 6 months after the operation.