[A case of primary lung cancer complicated with post-operative intractable pulmonary fistula].

Abstract

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.

• Authors: A Morio, H Miyamoto, A Yamazaki, Y Anami, S Oh, H Izumi, Y Hosoda, Y Fukuchi
• Journal: Kyobu geka. The Japanese journal of thoracic surgery (Kyobu Geka) Vol. 53 Issue 13 Pg. 1144-7 (Dec 2000) ISSN: 0021-5252 [Print] Japan
• PMID: 11127565 (Publication Type: Case Reports, English Abstract, Journal Article)

Chemical References

• Albumins
• Fibrin Tissue Adhesive
• Teicoplanin

Topics

• Aged
• Albumins
• Carcinoma, Squamous Cell (complications, surgery)
• Empyema, Pleural (drug therapy)
• Fibrin Tissue Adhesive
• Fistula (surgery)
• Humans
• Lung Diseases (surgery)
• Lung Neoplasms (complications, surgery)
• Lupus Erythematosus, Systemic (complications)
• Male
• Methicillin Resistance
• Pneumonectomy
• Postoperative Complications (therapy)
• Pulmonary Emphysema (complications)
• Staphylococcal Infections (drug therapy)
• Teicoplanin (therapeutic use)
• Thoracoscopy
• Treatment Outcome