Kamiya I, Umeda T, Kako T
Department of Surgery, National Sanatorium Higashi Nagoya Hospital, Japan.
Kyobu Geka. 1998 Aug;51(9):793-6.
A 73-year-old male was admitted with dyspnea and cough. The chest X-ray showed left massive pleural effusion and diffuse pleural tumor in the left thorax. It was diagnosed as epithelial-cell type mesothelioma by pleural needle biopsy. After conforming the regression of the tumor from conducting two courses of combined treatment with cisplatin and doxorubicin, panpleuropneumonectomy was performed. He died from sepsis on the thirty second day after operation due to complication of postoperative diaphragmatic hernia and gastric perforation. When conducting a panpleuropneumonectomy to diffuse pleural mesothelioma, the most appropriate approach must be taken to the combined with resection and reconstruction of the diaphragma.
一名73岁男性因呼吸困难和咳嗽入院。胸部X线显示左胸腔大量胸腔积液及左胸弥漫性胸膜肿瘤。经胸膜穿刺活检诊断为上皮细胞型间皮瘤。在顺铂和阿霉素联合治疗两个疗程后确认肿瘤消退后，进行了全胸膜肺切除术。他在术后第32天因术后膈疝和胃穿孔并发症死于败血症。对弥漫性胸膜间皮瘤进行全胸膜肺切除时，必须采取最合适的方法进行膈肌的联合切除和重建。
