Bronchoscopic sclerotherapy combined with thoracoscopic drainage for postpneumonectomy bronchial fistula and empyema
Autor: | J. D. Urschel, J. M. Barnwell, B. J. Lipman |
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Rok vydání: | 1999 |
Předmět: |
medicine.medical_specialty
Lung Neoplasms Fistula medicine.medical_treatment Bronchoscopy Sclerotherapy Thoracoscopy medicine Humans Pneumonectomy Empyema Pleural Aged medicine.diagnostic_test business.industry respiratory system bacterial infections and mycoses medicine.disease Bronchial Fistula Empyema respiratory tract diseases Endoscopy Surgery surgical procedures operative Drainage Female Radiology business Abdominal surgery |
Zdroj: | Surgical endoscopy. 13(9) |
ISSN: | 0930-2794 |
Popis: | A postpneumonectomy bronchial fistula is a very morbid complication that often requires major surgical procedures for treatment. Since patients with postpneumonectomy bronchial fistula and empyema are physiologically compromised, corrective surgical interventions pose considerable risk. We report a case of a postpneumonectomy fistula with an associated empyema. Our patient's empyema was treated with thoracoscopic debridement and antibiotic instillation (modification of the Clagett procedure). Bronchoscopic and thoracoscopic treatment strategies that are appropriate for selected patients with postpneumonectomy bronchial fistula and empyema are discussed. |
Databáze: | OpenAIRE |
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