Kyobu geka. The Japanese journal of thoracic surgery
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Thoracic surgery has become to be performed more safely by recent progress of operative method and anesthetic management. The surgery can be applicable for those patients who were formerly difficult for operation because of preoperative poor respiratory function, however, postoperative mortality and morbidity increase in such patients without appropriate perioperative management. ⋯ Coherent risk management from preoperative to postoperative period becomes important. This is achieved by the comprehensive perioperative patient management which is consisted of the cooperation between the surgeon and the anesthetist, correct preoperartive evaluation, preoperative medical treatment with pulmonary rehabilitation, appropriate anesthetic management, and postoperative intensive care.
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A 68-year-old male, pointed out of bilateral lung tumors, was hospitalized for the evaluation of multiple lung tumors. Chest computed tomography demonstrated 10 x 10 mm and 30 x 60 mm tumors in left lower lung and a 16 x 16 mm tumor in right lower lung. ⋯ For purpose of diagnosis, partial resections of left lower lung were performed, and then these tumors were diagnosed as pulmonary metastasis of intracranial meningioma. This is a very rare case of pulmonary metastasis of meningioma 26-years after craniotomy.
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An 85-year-old woman was admitted to the hospital for a lumbar compression fracture. Her white blood cells and C-reactive protein (CRP) were elevated to 20,400/microl and 30.58 mg/dl, respectively. Chest and back pain occurred suddenly, 16 days after admission. ⋯ However oral antibiotics were administered again for about 2 months because wound infection occurred on the day 37 and 60 postoperatively. CRP normalized during her course of antibiotic therapy. Thereafter, the patient remained well without any sign of wound infection or mediastinitis.
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Intercostal pulmonary hernias are rare and mostly resulting from complications related to chest trauma. We report a case of traumatic intercostal pulmonary hernia in a 68-year-old man. ⋯ Based on the diagnosis of intercostal pulmonary hernia, we performed surgical repair. Post-operative course was uneventful, and there has been no sign of recurrence of hernia.