[A case of primary lung cancer complicated with post-operative intractable pulmonary fistula].
The case was a 76-year-old male. After thoracoscopic left upper lobectomy against primary lung cancer with poor risks such as complication of systemic lupus erythematosus (SLE) and pulmonary emphysema, oral steroid treatment, heavy smoker, decreased renal function, the patient was complicated with intractable pulmonary fistula and MRSA pyothorax. Intracavitary administration of albumin preparation and fibrin glue (Beriplast P) was effective against pulmonary fistula though it was not helpful in the pleurodesis which was conducted 7 times. Teicoplanin (Targosid) was effective against MRSA pyothorax and maintained the renal function.
Morio
A
A
Department of Thoracic Surgery, Juntendo University School of Medicine, Tokyo, Japan.
Miyamoto
H
H
Yamazaki
A
A
Anami
Y
Y
Oh
S
S
Izumi
H
H
Hosoda
Y
Y
Fukuchi
Y
Y
D000368:Aged; D000418:Albumins; D002294:Carcinoma, Squamous Cell / Q000150:complications / Q000601:surgery*; D016724:Empyema, Pleural / Q000188:drug therapy; D015718:Fibrin Tissue Adhesive; D005402:Fistula / Q000601:surgery*; D006801:Humans; D008171:Lung Diseases / Q000601:surgery*; D008175:Lung Neoplasms / Q000150:complications / Q000601:surgery*; D008180:Lupus Erythematosus, Systemic / Q000150:complications; D008297:Male; D016106:Methicillin Resistance; D011013:Pneumonectomy; D011183:Postoperative Complications / Q000628:therapy*; D011656:Pulmonary Emphysema / Q000150:complications; D013203:Staphylococcal Infections / Q000188:drug therapy; D017334:Teicoplanin / Q000627:therapeutic use; D013906:Thoracoscopy; D016896:Treatment Outcome
D000418:Albumins; D015718:Fibrin Tissue Adhesive; D017334:Teicoplanin