{"created":"2023-07-25T08:15:22.394137+00:00","id":16679,"links":{},"metadata":{"_buckets":{"deposit":"f3b92e15-47c9-48f7-8103-4e734e73e20c"},"_deposit":{"created_by":18,"id":"16679","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"16679"},"status":"published"},"_oai":{"id":"oai:ir.kagoshima-u.ac.jp:00016679","sets":["57:78"]},"author_link":["142949","142950","142951","142952","142953","142954","142955","142956","142957","142958","142959","142960","142961","142962"],"item_6_biblio_info_5":{"attribute_name":"収録雑誌名","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2019-11-07","bibliographicIssueDateType":"Issued"},"bibliographicPageStart":"174","bibliographicVolumeNumber":"5","bibliographic_titles":[{"bibliographic_title":"Surgical Case Reports","bibliographic_titleLang":"en"}]}]},"item_6_date_6":{"attribute_name":"作成日","attribute_value_mlt":[{"subitem_date_issued_datetime":"2019-11-07","subitem_date_issued_type":"Issued"}]},"item_6_description_4":{"attribute_name":"要約(Abstract)","attribute_value_mlt":[{"subitem_description":"Background: Video-assisted thoracoscopic surgery (VATS) for organizing empyema is challenging because fibrous septa and peel within the cavity are thickened and hardened. Some patients have multiple isolated empyema cavities that require debridement individually because firm intrathoracic adhesion was developed during this phase. If the debridement was incomplete as a result of worrying about an accidental injury of the surrounding organ, additional interventions may be required due to the persistent empyema cavity or insufficient expansion of the ipsilateral lung. We here describe a representative case with multiple loculated organizing empyema that could safely and reliably perform VATS debridement under C-arm cone-beam computed tomography (CBCT).\nCase presentation: A 67-year-old woman was admitted to our department for the treatment of right empyema. Chest computed tomography showed fluid collection in three independent spaces within the right thoracic cavity. It was assumed that a firm adhesion between the lung and chest wall was developed because about 7 weeks passed since the onset. Therefore, we decided to use CBCT to completely debride three empyema cavities separately by VATS. One cavity was only in a narrow range with the chest wall, and it was located on the back of cost rib cartilage. By clicking any intended anatomical structures on CBCT images, the position was readily depicted by lase projection on the body surface, which helped to place the best skin incision. Moreover, in other cavities, CBCT after initial debridement showed insufficiently dissected cavity. Additional debridement resulted in a successful shrinkage of the empyema cavity.\nConclusion: We believe that VATS debridement under CBCT guidance is one of the useful treatment options for multiple loculated organizing empyema.\n\nMasaya Aoki, Tadashi Umehara, Shoichiro Morizono, Yasuhiro Tokuda, Go Kamimura, Takuya Tokunaga, Souichi Suzuki, Aya Harada Takeda, Koki Maeda, Toshiyuki Nagata, Naoya Yokomakura, Kota Kariatsumari, Kazuhiro Ueda & Masami Sato\nComputed tomography-guided thoracoscopic debridement for multiple loculated organizing empyema: a case report\nSurgical Case Reports (2019) 5:174\nhttps://doi.org/10.1186/s40792-019-0731-5","subitem_description_language":"en","subitem_description_type":"Other"}]},"item_6_publisher_23":{"attribute_name":"公開者・出版者","attribute_value_mlt":[{"subitem_publisher":"Springer","subitem_publisher_language":"en"}]},"item_6_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"21987793","subitem_source_identifier_type":"EISSN"}]},"item_6_subject_15":{"attribute_name":"NDC","attribute_value_mlt":[{"subitem_subject":"490","subitem_subject_scheme":"NDC"}]},"item_6_version_type_14":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"Aoki, Masaya","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Umehara, Tadashi","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Morizono, Shoichiro","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Tokuda, Yasuhiro","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Kamimura, Go","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Tokunaga, Takuya","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Suzuki, Souichi","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Takeda Harada, Aya","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Maeda, Koki","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Nagata, Toshiyuki","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Yokomakura, Naoya","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Kariatsumari, Kota","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Ueda, Kazuhiro","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Sato, Masami","creatorNameLang":"en"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2023-06-16"}],"displaytype":"detail","filename":"21987793_5_174.pdf","filesize":[{"value":"1.4 MB"}],"format":"application/pdf","licensefree":"Copyright © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License(http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"21987793_5_174","objectType":"fulltext","url":"https://ir.kagoshima-u.ac.jp/record/16679/files/21987793_5_174.pdf"},"version_id":"83ca5fcc-6179-4d9c-83e0-7619dfc923d6"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Multiple loculated organizing empyema","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Debridement","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Video-assisted thoracoscopic surgery","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"C-arm cone-beam computed tomography","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"Computed tomography-guided thoracoscopic debridement for multiple loculated organizing empyema: a case report","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Computed tomography-guided thoracoscopic debridement for multiple loculated organizing empyema: a case report","subitem_title_language":"en"}]},"item_type_id":"6","owner":"18","path":["78"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2023-06-16"},"publish_date":"2023-06-16","publish_status":"0","recid":"16679","relation_version_is_last":true,"title":["Computed tomography-guided thoracoscopic debridement for multiple loculated organizing empyema: a case report"],"weko_creator_id":"18","weko_shared_id":-1},"updated":"2024-02-07T06:21:52.235935+00:00"}