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Bronchopleural fistula after pneumonectomy for lung cancer

Bronchopleural fistula after pneumonectomy for lung cancer 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. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Cardio-Thoracic Surgery Oxford University Press

Bronchopleural fistula after pneumonectomy for lung cancer

European Journal of Cardio-Thoracic Surgery , Volume 9 (9) – Sep 1, 1995

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References (15)

Publisher
Oxford University Press
Copyright
© Published by Oxford University Press.
ISSN
1010-7940
eISSN
1873-734X
DOI
10.1016/S1010-7940(95)80045-X
Publisher site
See Article on Publisher Site

Abstract

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.

Journal

European Journal of Cardio-Thoracic SurgeryOxford University Press

Published: Sep 1, 1995

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