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[Video assisted thoracic surgery for Mycobacterium avium complex pulmonary disease spread over multiple pulmonary lobe within one lung].
- Source :
-
Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society [Nihon Kokyuki Gakkai Zasshi] 2005 Oct; Vol. 43 (10), pp. 618-21. - Publication Year :
- 2005
-
Abstract
- A 75-year-old woman with Mycobacterium avium complex (MAC) pulmonary disease who had been treated by drug therapy for 7 years was admitted on an emergency basis for hemoptysis. Through the previous 7 years, her sputum cultures had been positive for MAC, and her clinical symptoms and examinations, such as chest X-ray and computed tomography, revealed that her condition had worsened. The lesions spread over the right middle lobe, segment 3 (S3) in the right upper lobe, and segment 6 (S6) in the right lower lobe, however, no lesions were present in the left lung. Since we believed that the disease was localized unilaterally, surgical treatment was selected. The surgical procedures that were employed included right middle lobectomy, right S3 segmentectomy and partial resection of right S6 by thoracoscopy. Sixteen months postoperatively, the sputum culture is negative for MAC. Our procedure enabled the preservation of effective lung function and was successful in controlling MAC pulmonary disease. It is believed that surgery for MAC pulmonary disease should be evaluated in more patients to decide the appropriate surgical indication and procedure.
- Subjects :
- Aged
Female
Humans
Lung Diseases diagnostic imaging
Lung Diseases pathology
Mycobacterium avium-intracellulare Infection diagnostic imaging
Mycobacterium avium-intracellulare Infection pathology
Tomography, X-Ray Computed
Lung Diseases surgery
Mycobacterium avium Complex
Mycobacterium avium-intracellulare Infection surgery
Pneumonectomy methods
Thoracic Surgery, Video-Assisted
Subjects
Details
- Language :
- Japanese
- ISSN :
- 1343-3490
- Volume :
- 43
- Issue :
- 10
- Database :
- MEDLINE
- Journal :
- Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society
- Publication Type :
- Academic Journal
- Accession number :
- 16285596