Postpneumonectomy bronchopleural fistula: analysis of risk factors and the role of bronchial stump coverage

Mammana, Marco; Marulli, Giuseppe; Zuin, Andrea; Perissinotto, Egle; Comacchio, Giovanni Maria; Franceschi, Elisa; Rea, Federico

doi:10.1007/s00595-019-01871-0

Cited by 18 publications

(27 citation statements)

References 31 publications

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“…En el análisis de regresión logística multivariable, además de las variables que han demostrado significación estadística, se a ñadió la presencia de diabetes mellitus, al ser un factor que se asocia a un incremento en la morbimortalidad quirúrgica en algunas series [23][24][25] . Las variables insuficiencia hepática moderada-severa y el consumo de alcohol, aunque estadísticamente demostraron una fuerte asociación, se retiraron del análisis final porque no existía un valor concreto de consumo de alcohol ni definición sobre el diagnóstico o grado de severidad de la insuficiencia hepática en la base de datos que permitiera clasificar de forma objetiva a los pacientes.…”

Section: Resultsunclassified

Riesgo quirúrgico tras resección pulmonar anatómica en cirugía torácica. Modelo predictivo a partir de una base de datos nacional multicéntrica

Antonio

Carrasco

Romero

et al. 2022

Archivos de Bronconeumología

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Section: Resultsunclassified

Riesgo quirúrgico tras resección pulmonar anatómica en cirugía torácica. Modelo predictivo a partir de una base de datos nacional multicéntrica

Antonio

Carrasco

Romero

et al. 2022

Archivos de Bronconeumología

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“…The reported incidence for postpneumonectomy bronchopleural fistula (ppBPF) in a series of a high-volume center is 4.5%. This incidence decreases as experience grows as low as 1% [1]. This number can be higher across different practices in the world.…”

Section: Introductionmentioning

confidence: 95%

Combining Minimally Invasive Techniques in Managing a Frail Patient with Postpneumonectomy Bronchopleural Fistula

Kostopanagiotou

Filippiadis

Bakas

et al. 2021

Case Reports in Pulmonology

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A postpneumonectomy bronchopleural fistula is a life-threatening complication requiring aggressive treatment and early repair. Reoperations are common due to initial treatment failure. Advanced bronchoscopic techniques are rapidly evolving, but permanent results are questionable. We report the minimally invasive management of a frail 79-year-old patient with postpneumonectomy fistula in respiratory failure due to repeated infections. Previous bronchoscopic closure attempts with fibrin failed. The multistep interdisciplinary management included airway surveillance by virtual bronchoscopy, percutaneous fibrin glue instillation under computed tomography, and awake thoracoscopic surgery to achieve temporary closure. This provided an acceptable long period of symptomatic and physical improvement. The bronchial stump failed again four months later, and the patient succumbed to pneumonia. Pneumonectomy has to be avoided unless strongly indicated. Complications are best managed with surgery for definite treatment. We emphasize our approach only when a patient declines surgery or is medically unfit as a temporary time-buying strategy in view of definite surgery in a high-volume center.

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“…Lymph node dissection removes tissue from adjacent organs and skeletonization of intrathoracic structures. It includes enblock removal of tissues with cancer cells that includes lymph nodes and fatty tissue within bronchus, trachea, superior vena cava, aorta, pulmonary vessels, and pericardium [17,20].…”

Section: Lymph Node Dissectionmentioning

confidence: 99%

Bronchopleural Fistula after Pulmonary Resection: Risk Factors, Diagnoses and Management

Jacobsen¹

2022

Pleura - A Surgical Perspective

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Bronchopleural fistula (BPF) after a pulmonary resection is rare with some of the most life-threatening consequences and a high mortality rate. Contamination of the pleural space resulting in empyema and spillage of the infected fluid into the remaining lung leading to respiratory distress remain the biggest concerns with BPF postoperatively. There are many patient characteristics and risk factors that can be evaluated to decrease the chance of a postoperative BPF. Presentation of BPF can be early or late with the late BPF more difficult to diagnosis and manage. Many options to treat BPF include surgical repair, conservative management, and endoscopic treatment.

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Postpneumonectomy bronchopleural fistula: analysis of risk factors and the role of bronchial stump coverage

Cited by 18 publications

References 31 publications

Riesgo quirúrgico tras resección pulmonar anatómica en cirugía torácica. Modelo predictivo a partir de una base de datos nacional multicéntrica

Riesgo quirúrgico tras resección pulmonar anatómica en cirugía torácica. Modelo predictivo a partir de una base de datos nacional multicéntrica

Combining Minimally Invasive Techniques in Managing a Frail Patient with Postpneumonectomy Bronchopleural Fistula

Bronchopleural Fistula after Pulmonary Resection: Risk Factors, Diagnoses and Management

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