An Experience with the Modified Total Pleural Covering Technique in a Patient with Bilateral Intractable Pneumothorax Secondary to Lymphangioleiomyomatosis

作者：Noda Masafumi^*; Okada Yoshinori; Maeda Sumiko; Sado Tetsu; Sakurada Akira; Hoshikawa Yasushi; Endo Chiaki; Kondo Takashi

来源：Annals of Thoracic and Cardiovascular Surgery, 2010, 16(6): 439-441.

• thoracoscopy
• pregnancy
• lymphangioleiomyomatosis
• pneumothorax

We present a case of bilateral intractable pneumothorax associated with a modified form of lymphangioleiomyomatosis (LAM), successfully treated with a previously reported surgical procedure, the total pleural covering (TPC) technique, under video-assisted thoracic surgery. The patient was a 28-year-old woman with bilateral pneumothorax secondary to LAM who had undergone thoracoscopic surgery in another hospital. We performed bilateral TPC modified with a preceding coverage of air leak points with polyglycolic acid sheets for reinforcement. Although a minor air leak after the surgery necessitated a mild pleurodesis on the right side, the bilateral pneumothorax was well controlled, and no recurrence has been observed for 9 months. We believe that TPC is a safe and reliable procedure for the management of intractable pneumothorax secondary to LAM. It also has the potential to reduce risk of excessive bleeding in lung transplantation. (Ann Thorac Cardiovasc Surg 2010; 16: 439-441)

• 出版日期2010-12