Access the full text.
Sign up today, get DeepDyve free for 14 days.
Robert Ginsberg, F. Pearson, Joel Cooper, Ernest Spratt, Jean Deslauriers, Melvyn Goldberg, Robert Henderson, Donald Jones (1989)
Closure of chronic postpneumonectomy bronchopleural fistula using the transsternal transpericardial approach.The Annals of thoracic surgery, 47 2
M. Hakim, B. Milstein (1985)
Role of automatic staplers in the aetiology of bronchopleural fistula.Thorax, 40
S. Vester, L. Faber, C. Kittle, W. Warren, R. Jensik (1991)
Bronchopleural fistula after stapled closure of bronchus.The Annals of thoracic surgery, 52 6
C. Dart, S. Scott, T. Takaro (1970)
Six-year clinical experience using autotic stapling deces for lung resections.The Annals of thoracic surgery, 9 6
Floyd Rd, Hollister Wf, Sealy Wc (1959)
Complications in 430 consecutive pulmonary resections for tuberculosis.Surgery gynecology & obstetrics, 109
R. Patel, E. Townsend, S. Fountain (1992)
Elective pneumonectomy: factors associated with morbidity and operative mortality.The Annals of thoracic surgery, 54 1
M. Sarsam, H. Moussali (1989)
Technique of bronchial closure after pneumonectomy.The Journal of thoracic and cardiovascular surgery, 98 2
D. Smith, A. Karish, J. Chapman, T. Takaro (1963)
HEALING OF THE BRONCHIAL STUMP AFTER PULMONARY RESECTION.The Journal of thoracic and cardiovascular surgery, 46
G. Lawrence, R. Ristroph, J. Wood, A. Starr (1982)
Methods for avoiding a dire surgical complication: bronchopleural fistula after pulmonary resection.American journal of surgery, 144 1
N. Williams, C. Lewis (1976)
Bronchopleural fistula: A review of 86 casesBritish Journal of Surgery, 63
R. Sweet (1945)
Closure of the bronchial stump following lobectomy or pneumonectomySurgery, 18
G. Malavé, E. Foster, J. Wilson, D. Munro (1971)
Bronchopleural fistula--present-day study of an old problem. A review of 52 cases.The Annals of thoracic surgery, 11 1
Robert Wood, S. Lacey, R. Azizkhan (1992)
Endoscopic management of large, postresection bronchopleural fistulae with methacrylate adhesive (Super Glue).Journal of pediatric surgery, 27 2
R. Hood, T. Kirksey, J. Calhoon, H. Arnold, R. Tate (1973)
The use of automatic stapling devices in pulmonary resection.The Annals of thoracic surgery, 16 1
V. Beltrami (1989)
Surgical transsternal treatment of bronchopleural fistula postpneumonectomy.Chest, 95 2
AbstractBronchopleural fistula (BPF) after pneumonectomy is a life-threateningcomplication. Over a period of 14 years (January 1980 to November 1993),471 pneumonectomies were performed byone surgical team using a uniformsuture technique for primary lung cancer. Non-small cell lung canceraccounted for 451 cases and 20 cases were small cell cancer. All operationswere performed using a uniform hand suture technique. There were sevencases of BPF giving an incidence of 1.5%. All fistulas occurred within 15days postoperatively and there were no late fistulas. The bronchial stumpwas free of tumor in all cases. No fistula occurred in the 24 (5.1%)completion pneumonectomies. The experience of the surgeon was important asthe senior author performed 374 pneumonectomies with two fistulas (0.5%)while other surgeons in training performed 97 pneumonectomies with fivefistulas (5.1%). Bronchial dehiscence was confirmed by bronchoscopy in allcases and an attempt at resuturing the stump through the same thoracotomyincision was made within 2 days of the diagnosis. Closure was successful infive patients, while the other two developed fatal complications. Weconclude that suture closure to the bronchial stump after pneumonectomyprovides a cheap and reliable technique, it is applicable in all situationsand can be taught to surgeons in training with an acceptable risk.
European Journal of Cardio-Thoracic Surgery – Oxford University Press
Published: Sep 1, 1995
Read and print from thousands of top scholarly journals.
Already have an account? Log in
Bookmark this article. You can see your Bookmarks on your DeepDyve Library.
To save an article, log in first, or sign up for a DeepDyve account if you don’t already have one.
Copy and paste the desired citation format or use the link below to download a file formatted for EndNote
Access the full text.
Sign up today, get DeepDyve free for 14 days.
All DeepDyve websites use cookies to improve your online experience. They were placed on your computer when you launched this website. You can change your cookie settings through your browser.