Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
권호 표지

Treatment of Postpneumonetomy Bronchopleural Fistula

전폐절제술 후 생긴 기관지 흉막루의 치료

  • Published : 1994.08.01
Download PDF
⟨ Previous Next ⟩

Abstract

A bronchopleural ~stula[BPF] is a major therapeutic challange to the thoracic surgeons due to difficulties in its management. We have experienced 9 cases of postpneumonectomy BPF, and all of them occured after the right side pneumonectomy. Seven patients underwent pneumonectomy due to lung cancer, and one patient each received pneumonectomy due to bronchiectasis and pulmonary tuberculosis. The most frequently used method of treatment was Eloesser operation which was done in 7 patients, and one had open thoracostomy and one had betadine irrigation until he died suddenly due to pulmonary vein rupture. The result of treatment was poor with five mortalities including one operative death. Two patients are in good condition in 28 months and 4 years of follow-up, but two are lost in follow-up. Tissue sealant such as Tisseel was used in three patients but seems to have no effect at all in the treatment of postoperative BPF.

Keywords

References

  1. J Thorac Cardiovasc Surg v.62 Management of resistant bronchopleural fistulas Barker,W.L.;Faber,P.;Ostermiller,W.E.;Langston,H.T.
  2. J Thorac Cardiovasc Surg v.86 Open window thoracoscopy in the management of postpneumonectomy empyema with or without bronchopleural fistula Shamji,F.M.;Ginsberg,R.J.;Cooper,J.D.(et al.)
  3. J Thorac Cardiovasc Surg v.76 Bronchopleural fistula. Thirteen-year experience with 77 cases Hankins,J.R.;Miller,J.E.;Attar,S.;Satterfield,J.R.;McLaughlin,J.S.
  4. Chest v.82 Empyema and bronchopleural fistual. Experience with open window thoracostomy Weissberg D.
  5. J Thorac Cardiovasc Surg v.63 Post-pneumonectomy empyema. Neomycin instillation and definitive closure Stafford,E.G.;Clagett,O.T.
  6. Scand J Thor Cardiovasc Surg v.22 Treatment of postpneumonectomy empyema and associated bronchopleural fistula Eerola,S.;Virkkula,L.;Varstela,E.
  7. 대흉외지 v.24 전폐절제 수술후 발생한 농흉 치험 이두연;김해균;홍승록;김홍석
  8. J Thorac Surg v.32 Suture material and technique for bronchial closure and bronchial anastomosis Bjork,V.O.
  9. Ann Thorac Surg v.1 Bronchogenic carcinoma. Further experience with preoperative irradiation Linberg,E.J.;Cowley,R.A.;Bloedorn,F.;Wizenberg,M.J.
  10. Thorax v.40 Role of automatic staplers in the aetiology of bronchopleural fistula Hakim,M.;Milstein,B.B.
  11. J Thorac Cardiovasc Surg v.80 Bronchopleural fistula following pneumonectomy for carcinoma of the bronchus. Mechanical stapling versus hand suturing Forrester-Wood,C.P.
  12. Ann Surg v.72 Observations on the treatment of chronic empyema Heuer,G.J.
  13. Surg Gynecol Obstet v.60 An operation for tuberculous empyema Eloesser,L.
  14. Ann Thorac Surg v.8 An operation for tuberculous empyema Eloesser,L.
  15. J Thorac Cardiovasc Surg v.45 A procedure for the management of postpneumonectomy empyema Clagett,O.T.;Geraci,J.E.
  16. J Thorac Cardiovasc Surg v.39 The management of bronchopleural fistulas Padhi,R.K.;Lynn,F.B.
  17. Am J Surg v.145 Anterior transpericardial closure of a main bronchus fistula after pneumonectomy Anderson,R.P.;Li,W.
  18. Thoraxchirurgie v.23 The transsternal and transpericardial approach for surgical treatment of fistulas of the main bronchus after pneumonectomy Massen,W.
  19. J Thorac Cardiovasc Surg v.90 Treatment of bronchopleural fistula after pneumonectomy Baldwin,J.C.;Mark,J.B.D.
  20. 대흉외지 v.23 우측 전폐절제술 후 발생한 기관지늑막루의 transsternal transpericardial approach를 이용한 폐쇄치료 1례 보고 김동관;이두연;정경영
  21. 대흉외지 v.25 좌측 전폐절제수술후 발생한 기관지늑막루의 폐쇄치료 1례 문동석;이두연;김해균
  22. J Thorac Cardiovasc Surg v.79 Bronchopleural fistula. Treatment by transposition of pectoralis major muscle Pairolero,P.C.;Arnold,P.G.
  23. J Thorac Cardiovasc Surg v.86 Intrathoracic transposition of extrathoracic skeletal muscle Pairolero,P.C.;Arnold,P.G.;Piehler,J.M.
  24. Ann Thorac Surg v.15 Myoplasty for closure of tracheobronchial fistula Demos,N.J.;Timmes,J.J.
  25. Ann Thorac Surg v.18 Surgical salvage in pulmonary tuberculosis Delarue,N.C.;Gale,G.
  26. Ann Thorac Surg v.50 Use of pedicle omental flap in treatment of empyema Shirakusa,T.;Ueda,H.;Takata,S.(et al.)
  27. Ann Thorac Surg v.49 Effect of omental, intercostal, and internal mammary artery pedicle wrappings on bronchial healings Turrentine,M.W.;Kesler,K.A.;Wright,C.D.(et al.)
  28. 대흉외지 v.24 기관지흉막루를 동반한 전폐절제술후 농흉의 수술치료-유경 대망판과 흉벽근육을 사용한 치험 2례 김기봉;조상록;성숙환;김주현