The Journal of the Japanese Association for Chest Surgery
Online ISSN : 1884-1724
Print ISSN : 0917-4141
ISSN-L : 0917-4141
Combined surgery for lung cancer and giant emphysematous bulla : a case report
Koichiro ShibataYasunori KogaYasunori MatsuzakiMakoto YoshiokaMami HayashiTestuya ShimizuJunichi ShiibaKeiichiro MastuoMieko ItoKiyoshi IshiiToshio Onituka
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1989 Volume 3 Issue 4 Pages 453-458

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Abstract
A 77-year-old male was admitted because of dyspnea and an abnormal chest X-ray. He had been followed for giant bulla in the left lung for 3 years. On admission, his chest roentgenogram revealed a giant bulla occupying one half of the left lung and a tumor shadow in the right upper lung field. Pulmonary function tests, including %VC, FEV 10 and unilateral pulmonary artery occlusion test, demonstrated the impaired left pulmonary function.
Bronchial biopsy of the orifice of S1 a confirmed the diagnosis of well-differentiated squamous cell carcinoma. Simultaneous operation for bilateral lung disease was successfully performed a combination of Naclerio-Langer bullectomy with a stapling device, fibrin glue for the giant emphysematous bulla in the left lower lobe and right upper lobectomy for the lung cancer (t1n1m0 p-stage II) through a median sternotomy.
Surgical indications and operative techniques for giant bulla and lung cancer are discussed.
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© The Japanese Association for Chest Surgery
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