Benign emptying of the post-pneumonectomy space: recognizing this rare complication retrospectively
| Autor: | Meletios A. Kanakis, Michalis D. Tsimpinos, Andrew C. Chatzis, Panagiotis Misthos, Achilleas Lioulias, Nicoletta G. Rapti |
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| Rok vydání: | 2015 |
| Předmět: |
Male
Pulmonary and Respiratory Medicine medicine.medical_specialty Lung Neoplasms Time Factors Fistula medicine.medical_treatment Bronchopleural fistula Unnecessary Procedures Pneumonectomy Postoperative Complications Bronchoscopy medicine Humans Aged Retrospective Studies Greece business.industry Retrospective cohort study Middle Aged Pleural Diseases medicine.disease Empyema Surgery Median time Pleural fluid Female Radiography Thoracic Bronchial Fistula Cardiology and Cardiovascular Medicine business Complication Follow-Up Studies |
| Zdroj: | Interactive CardioVascular and Thoracic Surgery. 21:685-687 |
| ISSN: | 1569-9285 1569-9293 |
| DOI: | 10.1093/icvts/ivv207 |
| Popis: | Patients presenting with a sudden drop in the pleural fluid level after a pneumonectomy in the absence of a recognizable bronchopleural fistula (BPF) have been classified as cases of benign emptying of the post-pneumonectomy space (BEPS). A retrospective study of 1378 pneumonectomies identified 4 cases of BEPS (0.29%). The patients were men; median age 64 years and all had undergone a right pneumonectomy. The median time at diagnosis was 31 days postoperatively and the median follow-up time was 31 months. None of the patients experienced a documented BPF or empyema. Although BEPS is an extremely rare complication, early recognition and close patient monitoring will prevent unnecessary interventional strategies. |
| Databáze: | OpenAIRE |
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