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- W2321282039 abstract "重症筋無力症を合併した胸腺腫症例では胸骨縦切開による拡大胸腺摘除術が標準的である. しかしながら術前から気管切開され呼吸管理された症例では気管切開部と術野が通じ縦隔炎の発症が危惧される. 今回, このような気管切開症例を経験した. 通常の胸骨縦切開を選択せず, 縦隔炎の合併を回避すべく胸骨T字切開を行い拡大胸腺摘除術を行った. 術後経過は良好で, 気管切開口と術野が連絡することなく, 縦隔炎等の術後感染症を免れることができた.胸骨T字切開では頭側の術野が不良で無名静脈より上方の操作はやや困難となるものの, 縦隔炎等の術後感染を予防する上で有用な手技と考えられた." @default.
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- W2321282039 date "2002-01-01" @default.
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- W2321282039 title "A tracheotomy case of thymoma associated with myasthenia gravis successfully treated by T-shaped sternotomy." @default.
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- W2321282039 doi "https://doi.org/10.2995/jacsurg.16.157" @default.
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