title: [Successful Treatment of Empyema with Bronchial Fistulas by Filling under Thoracoscopic Observation; Report of a Case].
abstract: Empyema with fistula usually resists conservative treatment such as thoracic cavity drainage and administration of antibacterial agents, thus it often requires surgeries such as fenestration, omental/muscle filling, and thoracoplasty. However, due to advanced age and poor condition, conducting invasive surgeries is often difficult in elderly patients. We report a case with the improvement of empyema by bronchial filling with endobronchial Watanabe spigot (EWS) under thoracoscopic observation for an 89-year-old patient who had developed chronic empyema with a bronchial fistulas. After filling EWS, air-leakage from bronchial fistula disappeared and the patient could discharged from the hospital successfully.
authors.affiliation: Department of Thoracic Surgery, Shonankamakura General Hospital, Kamakura, Japan.
authors.forename: Ryuta
authors.initials: R
authors.lastname: Fukai
authors.forename: Hideyasu
authors.initials: H
authors.lastname: Sugimoto
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Kashiwagi
authors.forename: Hidemitsu
authors.initials: H
authors.lastname: Ogino
authors.forename: Rai
authors.initials: R
authors.lastname: Shimoyama
authors.forename: Jun
authors.initials: J
authors.lastname: Kawachi
authors.forename: Yuki
authors.initials: Y
authors.lastname: Ikegaya
authors.forename: Naoko
authors.initials: N
authors.lastname: Isogai
authors.forename: Katusnori
authors.initials: K
authors.lastname: Miyake
authors.forename: Sadanori
authors.initials: S
authors.lastname: Nishimura
authors.forename: Masashi
authors.initials: M
authors.lastname: Nakagawa
authors.forename: Kazunao
authors.initials: K
authors.lastname: Watanabe
mesh_terms: D000369:Aged, 80 and over; D001983:Bronchial Fistula / Q000601:surgery*; D004653:Empyema / Q000601:surgery*; D006801:Humans; D008297:Male; D009852:Omentum; D013906:Thoracoscopy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome