Multimodal Treatment for Post-Pneumonectomy Bronchopleural Fistula Associated With Empyema

被引:24
|
作者
Andreetti, Claudio
Menna, Cecilia
D'Andrilli, Antonio
Ibrahim, Mohsen
Maurizi, Giulio
Poggi, Camilla
Rendina, Erino Angelo
Venuta, Federico
Santini, Mario
Fiorelli, Alfonso
机构
[1] Univ Rome Sapienza, St Andrea Hosp, Fac Med & Psychol, Div Thorac Surg, Rome, Italy
[2] Univ Rome Sapienza, Fac Pharm & Med, Div Thorac Surg, Policlin Umberto I, Rome, Italy
[3] Fdn Eleonora Lorillard Spencer Cenci, Rome, Italy
[4] Univ Campania Luigi Vanvitelli, Div Thorac Surg, Naples, Italy
来源
ANNALS OF THORACIC SURGERY | 2018年 / 106卷 / 06期
关键词
D O I
10.1016/j.athoracsur.2018.05.094
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Post-pneumonectomy bronchopleural fistula associated with empyema still remains a dreaded complication in thoracic surgery. A variety of surgical and endoscopic procedures have been proposed over the years, but none of these has been suitable for all patients. Herein, we report a new multimodal approach, including the insertion of tracheobronchial conical stent, the open pleural packing, and the closure of bronchial stump with omentoplasty. This procedure was successfully applied in 11 patients with post-pneumonectomy bronchopleural fistula with empyema. (C) 2018 by The Society of Thoracic Surgeons
引用
收藏
页码:E337 / E339
页数:3
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