| Autor: |
Duy Kevin Duong, DO, Labib Gilles Debiane, MD, Avi Cohen, MD, A. Rolando Peralta, MD, Javier Diaz-Mendoza, MD, Michael J. Simoff, MD |
| Jazyk: |
angličtina |
| Rok vydání: |
2024 |
| Předmět: |
|
| Zdroj: |
Annals of Thoracic Surgery Short Reports, Vol 2, Iss 3, Pp 427-431 (2024) |
| Druh dokumentu: |
article |
| ISSN: |
2772-9931 |
| DOI: |
10.1016/j.atssr.2024.03.004 |
| Popis: |
Background: Bronchopleural fistula (BPF) is a rare and often difficult postoperative complication to manage. This case series describes a bronchoscopic technique using a bone plug for closure of BPFs. Methods: Six patients at Henry Ford Hospital from 2014 to 2021, who had a postoperative BPF after lung resection with curative intent for non-small cell lung cancer, underwent bronchoscopic placement of a customized bone plug. Results: All 6 patients experienced initial resolution of the BPF after bone plug placement. Four of the 6 (66.7%) patients were inpatients, with severe pleural space infections requiring chest tube drainage; all patients clinically improved with resolution of persistent air leaks resulting in chest tube removal. Two of the 6 (33.3%) patients had BPF recurrence within 2 months, and 2 of the /6 (33.3%) patients also eventually required additional surgical repair. Conclusions: Endobronchial placement of a customized bone plug is an option for the management of postoperative BPF. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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