Abstract
A 67-year-old woman, who received postoperative chemotherapy, was admitted to the hospital for granulocytopenia and severe pneumonia, sepsis, and DIC. After intensive care, she developed a lung abscess in the right upper lobe. Antibiotics and transbronchial drainage were unsuccessful, she underwent fenestration and cavernostomy open drainage of the right anterior chest. The general status improved, and infection in the cavity was under control, so we performed omental pack through a retrosternal route with sternal elevation bar and closure of fenestration. The patient was discharged with a favorable clinical condition on the 18th postoperative day. We suggest that a retrosternal route through sternal elevation leads to smooth surgery for similar cases.
