Postoperative Bronchopleural Fistula: A Conservative Way of Treatment in Selected Cases.
Aged
Bronchial Fistula
/ etiology
Chest Tubes
Conservative Treatment
/ adverse effects
Drainage
/ instrumentation
Humans
Lung Neoplasms
/ pathology
Lymph Node Excision
/ adverse effects
Male
Middle Aged
Pleural Diseases
/ etiology
Pneumonectomy
/ adverse effects
Respiratory Tract Fistula
/ etiology
Therapeutic Irrigation
Treatment Outcome
Journal
The Thoracic and cardiovascular surgeon
ISSN: 1439-1902
Titre abrégé: Thorac Cardiovasc Surg
Pays: Germany
ID NLM: 7903387
Informations de publication
Date de publication:
Sep 2021
Sep 2021
Historique:
pubmed:
19
1
2021
medline:
24
11
2021
entrez:
18
1
2021
Statut:
ppublish
Résumé
Postoperative bronchopleural fistula represents a challenging issue for thoracic surgeons. The treatment options reported include bronchoscopic or surgical procedures but the method yielding the best results remains unclear. In our thoracic surgery department, between January 2011 and June 2020, 11 patients treated conservatively for early bronchopleural fistula after lobectomy or bilobectomy were reviewed. The fistula size ranged between 2 and 3 mm and complete suture dehiscence. In all 11 patients favorable conditions such as clinical stability, complete expansion of the remaining lung, and resolution of the pleural infection allowed a successful conservative treatment with chest tube drainage. In selected cases, conservative management of early bronchopleural fistula after lobectomy or bilobectomy may be an alternative therapeutic option to bronchoscopic or surgical procedures, regardless of the fistula size.
Sections du résumé
BACKGROUND
BACKGROUND
Postoperative bronchopleural fistula represents a challenging issue for thoracic surgeons. The treatment options reported include bronchoscopic or surgical procedures but the method yielding the best results remains unclear.
METHODS
METHODS
In our thoracic surgery department, between January 2011 and June 2020, 11 patients treated conservatively for early bronchopleural fistula after lobectomy or bilobectomy were reviewed. The fistula size ranged between 2 and 3 mm and complete suture dehiscence.
RESULTS
RESULTS
In all 11 patients favorable conditions such as clinical stability, complete expansion of the remaining lung, and resolution of the pleural infection allowed a successful conservative treatment with chest tube drainage.
CONCLUSION
CONCLUSIONS
In selected cases, conservative management of early bronchopleural fistula after lobectomy or bilobectomy may be an alternative therapeutic option to bronchoscopic or surgical procedures, regardless of the fistula size.
Identifiants
pubmed: 33461220
doi: 10.1055/s-0040-1721676
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
577-579Informations de copyright
Thieme. All rights reserved.
Déclaration de conflit d'intérêts
None declared.