@article{oai:repository.lib.tottori-u.ac.jp:00004664, author = {三和, 健 and Miwa, Ken and Ohno, Takashi and 城所, 嘉輝 and Kidokoro, Yoshiteru and 春木, 朋広 and Haruki, Tomohiro and 中村, 廣繁 and Nakamura, Hiroshige and Nakanishi, Atsuyuki and Miyamoto, Tatsuya and Ohno, Takashi}, issue = {4}, journal = {Yonago Acta Medica, Yonago Acta Medica}, month = {Nov}, note = {Intractable pneumothorax with poor lung function that has received multiple conservative treatments may occur. Case 1 was a 70-year-old woman with aspergilloma who was admitted for pneumothorax. Case 2 was a 68-year-old man with acute exacerbation of interstitial pneumonia who developed pneumothorax. In both cases, multiple conservative therapies were administered, but the leak continued; thus, operations using veno-venous extracorporeal membrane oxygenation (ECMO) were planned. By video-assisted thoracoscopic surgery (VATS), we obtained the optimal surgical field by lung collapse. We removed many blood clots that were used for pleurodesis, ligated the bulla in case 1, and covered the leak point with strengthening agents in case 2. For cases of intractable pneumothorax, lung collapse by ECMO is advantageous because we can check details and leak points even in blood clots or in poor condition of the lung, and we can maneuver the lung in poor condition with a clear surgical field.}, pages = {320--324}, title = {Video-Assisted Thoracoscopic Surgery Using Extracorporeal Membrane Oxygenation for Intractable Pneumothorax}, volume = {65}, year = {2022}, yomi = {ミワ, ケン and オオノ, タカシ and キドコロ, ヨシテル and ハルキ, トモヒロ and ナカムラ, ヒロシゲ and オオノ, タカシ} }