We reinforced the bronchial stump with fascia lata and Gelatin Resorcin Formalin (GRF) glue in a right pneumonectomy. This method was found to be simple and useful. We describe our case and the method herein. A 62-year-old woman had a malignant polypoid lesion which completely occluded the introitus of the right main bronchus and deviated to the introitus of the left main bronchus. Right pneumo...

We read with great interest the article by Toufektzian et al. regarding the relationship between postoperative mechanical ventilation and bronchopleural fistula (BPF) formation after pneumonectomy [1]. We congratulate the authors for their work and agree that every effort should be made to achieve the earliest possible extubation of the patient and that bronchial stump reinforcement is advisabl...

We read with great interest the article by Toufektzian et al. regarding the relationship between postoperative mechanical ventilation and bronchopleural fistula (BPF) formation after pneumonectomy [1]. We congratulate the authors for their work and agree that every effort should be made to achieve the earliest possible extubation of the patient and that bronchial stump reinforcement is advisabl...

Two groups have been selected from 1000 patients who had lobectomy or pneumonectomy for bronchial carcinoma. The first group was of 26 patients with tumour affecting the mucosa of the resected bronchial margin reported histologically at the time of surgery. Twelve of these were given postoperative radiotherapy but with no apparent benefit, either in the incidence of recurrence of tumour at the ...

BACKGROUND AND PURPOSE External beam radiation therapy (EBRT) is occasionally used in the treatment of bronchial stump recurrences after complete surgical resection in patients with non-small-cell lung cancer (NSCLC), but no prospective study exists, so far. The objective of this review is to determine effectiveness of high-dose EBRT in this disease. METHODS A systematic review was undertaken...

Bronchopleural fistula (BPF) is a potentially fatal complication of lung cancer resection surgery that occurs during the healing process of the bronchial stump. However, the vulnerability of the healed surgical wound to overlapping acquired airway destruction has not yet been determined in detail. We herein present a case of fatal BPF following Mycobacterium abscessus (M. abscessus) infection, ...

STUDY OBJECTIVES Microscopic residual disease in the bronchial resection margins after surgical resection of lung cancer is rare, and its clinical significance remains unsettled. We studied the natural history of patients with carcinoma in situ (CIS) at their bronchial resection margins to focus on the issue of stump recurrence. METHODS Eleven individuals who had undergone radical surgery for...

Bronchial stump reinforcement with viable tissue after pneumonectomy is an important prophylactic measure against the development of bronchopleural fistula. We present our technique of utilizing the pericardium on the posterior wall of the left atrium as a flap to cover the bronchial stump after extrapleural pneumonectomy. From January 1999 to March 2008, we used this technique in 50 patients (...

Bronchopleural fi stula (BPF) remains a rare, but feared complication following pneumonectomy and occurs with an incidence of 3% to 12%.1–8) It can lead to life-threatening conditions, such as aspiration of infectious fl uid from the pleural cavity, pneumonia of the remaining lung, and postpneumonectomy empyema. Many publications have explored different surgical techniques to reduce the inciden...