Complications of thoracic surgery: post-pneumonectomy bronchopleural fistula

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eComment. post-pneumonectomy empyema with bronchopleural fistula.

Andreetti et al. regarding the treatment of post-pneumonectomy bronchopleural fistula (PPBPF) by self-expandable stent and we agree that this modality can be in the armamentarium of cardiothoracic surgeons [1]. PPBPF is one of the most serious and lethal complications in thoracic surgery. There are well-known predisposing factors related to this devastating postoperative complication such as ex...

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Post-pneumonectomy oesophageal fistula.

The complication of oesophagopleural fistula is described in eight of 1,389 patients (0 5%) who underwent pneumonectomy for carcinoma of the bronchus. All the patients had a right pneumonectomy performed and seven of the eight patients developed a bronchopleural fistula before developing an oesophageal fistula. The complication appeared between two weeks and 22 months after pneumonectomy. All t...

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The use of a bone substitute composite in the management of a post-pneumonectomy bronchopleural fistula.

Post-pneumonectomy bronchopleural fistulas (BPFs) still represent a formidable therapeutic challenge. Several procedures have been proposed of which the least invasive are gaining distinct recognition and favour. We report the case of small-sized BPF treated by plastering the bronchial stump with a combination of bone substitute composite sprayed on a scaffold made of a Vycril mesh and placed o...

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Closure of a post-pneumonectomy bronchopleural fistula with fibrin sealant (Tisseel).

A persistent post-pneumonectomy bronchopleural fistula and empyema were successfully treated by draining and cleansing the empyema cavity and then occluding the fistula with fibrin sealant.

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Bronchopleural Fistula After Pneumonectomy: Mechanical Stapling Versus Hand Suturing

Objectives: Bronchpleural fistula (BPF) after pneumonectomy is a serious complication, occurring in 1-15% of the cases. Study aim was to evaluate the incidence of BPFs between hand sutured and stapled bronchus closure. Methods: Hospital records of 549 consecutive pneumonectomy patients were reviewed retrospectively. The bronchial stump was closed in 510 patients using a uniform interrupted hand...

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ژورنال

عنوان ژورنال: Shanghai Chest

سال: 2021

ISSN: 2521-3768

DOI: 10.21037/shc.2020.03.02