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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 84(3)

Challenges in left sleeve pneumonectomy in the left lateral decubitus position

https://doi.org/10.18999/nagjms.84.3.673
https://doi.org/10.18999/nagjms.84.3.673
4caeed09-6d69-4174-8773-2f880d442ba8
名前 / ファイル ライセンス アクション
19_Nakamura.pdf 19_Nakamura.pdf (2.5 MB)
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Item type itemtype_ver1(1)
公開日 2022-09-05
タイトル
タイトル Challenges in left sleeve pneumonectomy in the left lateral decubitus position
言語 en
著者 Nakamura, Shota

× Nakamura, Shota

en Nakamura, Shota

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Fukui, Takayuki

× Fukui, Takayuki

en Fukui, Takayuki

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Ito, Hideki

× Ito, Hideki

en Ito, Hideki

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Goto, Masaki

× Goto, Masaki

en Goto, Masaki

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Ozeki, Naoki

× Ozeki, Naoki

en Ozeki, Naoki

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Chen-Yoshikawa, Toyofumi Fengshi

× Chen-Yoshikawa, Toyofumi Fengshi

en Chen-Yoshikawa, Toyofumi Fengshi

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アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
権利
言語 en
権利情報Resource http://creativecommons.org/licenses/by-nc-nd/4.0/
権利情報 Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
キーワード
主題Scheme Other
主題 adenoid cystic carcinoma
キーワード
主題Scheme Other
主題 sleeve pneumonectomy
キーワード
主題Scheme Other
主題 carinal resection
内容記述
内容記述 We report the case of a 20-year-old woman with carinal adenoid cystic carcinoma who underwent left sleeve pneumonectomy in the left lateral decubitus position, during which severe desaturation was encountered. After transecting the left main bronchus, the left lung was selectively intubated and ventilated. However, oxygenation was inadequate. Hence, venoarterial extracorporeal membrane oxygenation (ECMO) was introduced. Initially, Barclay’s procedure was planned to preserve the left lung, but this plan was altered due to the extent of the tumor and unstable ventilation. After the lesion was removed, the trachea and right main bronchus were anastomosed end-to-end. During left pneumonectomy, the right lung was selectively ventilated, but oxygen saturation (SpO2) dropped to <70% despite ECMO. SpO2 improved on additionally ventilating the left lung using another breathing circuit. Temporary right chest closure was performed with ventilation of the left lung across the thoracotomy wound. The patient was turned to the semi-supine position, and tolerated selective right lung ventilation with ECMO. Subsequently, left thoracotomy and pneumonectomy were successfully performed. Careful management is required for desaturation in left sleeve pneumonectomy in the left lateral decubitus position.
言語 en
内容記述タイプ Abstract
出版者
言語 en
出版者 Nagoya University Graduate School of Medicine, School of Medicine
言語
言語 eng
資源タイプ
資源タイプresource http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
ID登録
ID登録 10.18999/nagjms.84.3.673
ID登録タイプ JaLC
関連情報
関連タイプ isVersionOf
識別子タイプ URI
関連識別子 https://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/843.html
収録物識別子
収録物識別子タイプ PISSN
収録物識別子 0027-7622
収録物識別子
収録物識別子タイプ EISSN
収録物識別子 2186-3326
書誌情報 en : Nagoya Journal of Medical Science

巻 84, 号 3, p. 673-677, 発行日 2022-08
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