Item type |
学内発行雑誌 / Departmental Bulletin Paper(1) |
公開日 |
2016-05-13 |
タイトル |
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タイトル |
Endoscopic Findings of Post-wedge Bronchoplastic Lobectomy |
言語 |
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言語 |
eng |
資源タイプ |
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資源タイプ |
departmental bulletin paper |
著者 |
KITAMI, Akihiko
SANO, Fumitoshi
OHASHI, Shinichi
HAYASHI, Shoko
SUZUKI, Kosuke
UEMATSU, Shugo
KAMIO, Yoshito
SUZUKI, Takashi
KADOKURA, Mitsutaka
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書誌情報 |
The Showa University journal of medical sciences
巻 27,
号 2,
p. 111-116,
発行日 2015-06
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抄録 |
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内容記述タイプ |
Abstract |
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内容記述 |
It is speculated that the advantage of wedge bronchoplastic lobectomy lies in the reduction in the incidence of major anastomotic complications. On the other hand, wedge bronchoscopic lobectomy can result in kinking at the anastomosis site. This study was performed to evaluate the operative outcomes and the postoperative endoscopic findings for wedge resection of the bronchus. From 2004 to 2012, nine patients underwent wedge bronchoplastic lobectomy for lung carcinoma. We evaluated the angles of the wedge and the distance of the preserved parts to the cut line of the bronchus (the so-called bronchial bridge). There were six right upper lobectomies, two middle and lower lobectomies, and one left lower lobectomy. Regarding bronchoscopic findings, five patients who underwent right upper lobectomy showed bulging into the bronchial lumen. There were no anastomotic strictures. Intraoperatively it was noted in these five patients that the bronchial bridge tended to be relatively long and/or the angle of the wedge resection tended to be relatively wide. To prevent bulging into the bronchial lumen after right upper wedge bronchoplastic lobectomy, bronchial wedge excisions should be shaped in order to reduce the length of the bronchial bridge. |
DOI |
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関連識別子 |
10.15369/sujms.27.111 |
出版者 |
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出版者 |
Showa University Society |
ISSN |
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収録物識別子 |
0915-6380 |
著者版フラグ |
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出版タイプ |
VoR |