Usefulness of thoracoscopic debridement for chronic empyema after an extrapleural pneumonectomy

Hidejiro Torigoe, Shinichi Toyooka, Hiromasa Yamamoto, Junichi Soh, Shinichiro Miyoshi

Research output: Contribution to journalArticle

Abstract

We present the case of a 65-year-old Japanese man diagnosed with chronic empyema (without a bronchopleural fistula) that occurred 7 months after he underwent an extrapleural pneumonectomy for right malignant pleural mesothelioma (MPM). Following thoracic drainage and irrigation for 1 month, we performed surgery by a thoracoscopic approach, in light of his general condition. We performed debridement and removal of the Gore-Tex polytetrafluoroethylene (PTFE) patch that had been used for the reconstruction of the diaphragm and the pericardium. The empyema had not relapsed when he died from recurrence of the MPM at 4 months after the thoracoscopic surgery. This patient's case suggests that thoracoscopic debridement and patch removal can be a therapeutic option for not only early-stage (exudative or fibrinopurulent) empyema but also late-stage (organized and chronic) empyema without a bronchopleural fistula, particularly for patients in poor general condition.

Original languageEnglish
Pages (from-to)507-510
Number of pages4
JournalActa medica Okayama
Volume70
Issue number6
Publication statusPublished - 2016

Keywords

  • Chronic
  • Empyema
  • Extrapleural pneumonectomy
  • Patch removal
  • Thoracoscopic debridement

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

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