カンザキ　マサト   神崎　正人    所属   医学部 医学科（東京女子医科大学病院）    職種   教授・基幹分野長
論文種別	症例報告
言語種別	英語
査読の有無	査読あり
表題	Video-assisted thoracic surgery for pleuroperitoneal communication.
掲載誌名	正式名：Surgical case reports 略　 称：Surg Case Rep ISSNコード：21987793/21987793
掲載区分	国外
巻・号・頁	5(1),pp.34
著者・共著者	Mitsuboshi Shota, Maeda Hideyuki, Kanzaki Masato
担当区分	最終著者,責任著者
発行年月	2019/02
概要	BACKGROUND:Hydrothorax due to pleuroperitoneal communication (PPC) is a rare complication of continuous ambulatory peritoneal dialysis (CAPD). Approximately 50% of the patients need to convert to hemodialysis.CASE PRESENTATION:A 65-year-old man with chronic renal failure due to membranoproliferative glomerulonephritis underwent CAPD. Seven months after starting CAPD, a chest X-ray showed a right hydrothorax. For performing radioscintigraphy, 99mTc-macro-aggregated albumin was administered into the peritoneal cavity with dialysate, and a leakage point of the dialysate into the right pleural cavity was detected. He was diagnosed with PPC and underwent video-assisted thoracic surgery (VATS). The hole was closed by direct suturing and reinforced by a pedicled latissimus dorsi muscle flap (LDM). The patient resumed CAPD 7 weeks later and had no recurrence of the right hydrothorax.CONCLUSIONS:VATS was a useful method for treating PPC. A pedicled LDM flap is an effective material for preventing the recurrence of PPC.
DOI	10.1186/s40792-019-0595-8
PMID	30783792