Risk Factors for Bronchopleural Fistula after Pneumonectomy: Stump Size Does Matter

Hollaus, Peter H.; Setinek, U.; Lax, F; Pridun, N

doi:10.1055/s-2003-40321

Cited by 31 publications

(3 citation statements)

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“…The mortality rate of BPF has been reported to be between 15% and 70% [8,10,14,16,18-20,37]. Pneumonia, pleural infections and failure in BS closure are the primary risk factors for BPF [1,11,17,19,32]. The proper BS closure technique to prevent BS dehiscence after pneumonectomy has been long debated in the field of human thoracic surgery [3,17,31].…”

Section: Introductionmentioning

confidence: 99%

“…Pneumonia, pleural infections and failure in BS closure are the primary risk factors for BPF [1,11,17,19,32]. The proper BS closure technique to prevent BS dehiscence after pneumonectomy has been long debated in the field of human thoracic surgery [3,17,31]. Therefore, the stapler technique has been used to prevent BPF in humans and dogs [1-3,17,22].…”

Section: Introductionmentioning

confidence: 99%

“…The proper BS closure technique to prevent BS dehiscence after pneumonectomy has been long debated in the field of human thoracic surgery [3,17,31]. Therefore, the stapler technique has been used to prevent BPF in humans and dogs [1-3,17,22]. There seems to be no consensus between researchers regarding the optimal method for BS closure because several authors have made different suggestions for this procedure [1,6,8,11,19,21].…”

Section: Introductionmentioning

confidence: 99%

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Comparison of different bronchial closure techniques following pneumonectomy in dogs

et al. 2007

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The comparison of the histologic healing and bronchopleural fistula (BPF) complications encountered with three different BS closure techniques (manual suture, stapler and manual suture plus tissue flab) after pneumonectomy in dogs was investigated for a one-month period. The dogs were separated into two groups: group I (GI) (n = 9) and group II (GII) (n = 9). Right and left pneumonectomies were performed on the animals in GI and GII, respectively. Each group was further divided into three subgroups according to BS closure technique: subgroup I (SGI) (n = 3), manual suture; subgroup II (SGII) (n = 3), stapler; and subgroup III (SGIII) (n = 3), manual suture plus tissue flab. The dogs were sacrificed after one month of observation, and the bronchial stumps were removed for histological examination. The complications observed during a one-month period following pneumonectomy in nine dogs (n = 9) were: BPF (n = 5), peri-operative cardiac arrest (n = 1), post-operative respiratory arrest (n = 1), post-operative cardiac failure (n = 1) and cardio-pulmonary failure (n = 1). Histological healing was classified as complete or incomplete healing. Histological healing and BPF complications in the subgroups were analyzed statistically. There was no significant difference in histological healing between SGI and SGIII (p = 1.00; p > 0.05), nor between SGII and SGIII (p = 1.00; p > 0.05). Similarly, no significant difference was observed between the subgroups in terms of BPF (p = 0.945; p > 0.05). The results of the statistical analysis indicated that manual suture, stapler or manual suture plus tissue flab could be alternative methods for BS closure following pneumonectomy in dogs.

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