{"title":"感染を疑った胸腺囊胞に対し剣状突起下および両側胸腔アプローチロボット支援下手術が有用であった1例","authors":"Takashi Kitagawa, Shinsaku Kabemura, Ryosuke Kumagai, Kosuke Otsubo, Fumitsugu Kojima, Toru Bando","doi":"10.2995/jacsurg.37.600","DOIUrl":null,"url":null,"abstract":"症例は68歳，女性．3年前乳癌のため当院紹介，術前MRIで前縦隔囊胞を認め胸腺囊胞疑いとなった．経過観察中，CTで囊胞の増大，壁肥厚，周囲脂肪織濃度上昇を認め囊胞内感染を疑い手術方針とした．囊胞により左腕頭静脈は広範囲に圧排されており，同部位に多方向からの操作を行えるよう術式を検討した．剣状突起下および両側胸腔アプローチのロボット支援下手術を行い，囊胞を左腕頭静脈から剥離，内容物が流出することなく切除し得た．病理検査では胸腺囊胞の診断となり，囊胞壁に炎症と線維化を認めた．術後経過は良好であり，術後6ヵ月の時点で再燃は認めない．","PeriodicalId":498875,"journal":{"name":"The Journal of The Japanese Association for Chest Surgery","volume":"1 8","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"The Journal of The Japanese Association for Chest Surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2995/jacsurg.37.600","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
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