Transparasternal transpericardial operation in the treatment of chronic empyema with bronchopleural fistula

Morimoto, Keisuke; Taniguchi, Ikuo; Nakamura, Yoshinobu; Maeda, Tomoyuki; Saiki, Masaaki; Yamaga, Takeshi

doi:10.1007/bf03032153

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Surgical Technique1

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2018

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“…Sometimes, there may be a large mediastinal shift. In these cases the carina and bronchi may be approached by a right anterior thoracotomy or a right parasternal thoracotomy (11) and excision of 2-6th costal cartilages. For the left side, when significant mediastinal shift has occurred, complete mobilisation of the aorta and pulmonary truncus has been advised by Ginsberg (2) to gain access to the left of the aorta.…”

Section: Surgical Techniquementioning

confidence: 99%

Management of post pneumonectomy bronchopleural fistula: the transpericardial approach

Bal¹,

Kamran²,

Haridas³

et al. 2018

J. Vis. Surg

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Pneumonectomy is a formidable operation with considerable morbidity and definite mortality of 5-7%. Bronchopleural fistula (BPF) with or without a post-pneumonectomy empyema (PPE) is one of the most dreaded events that can affect the post-operative course following pneumonectomy. It has a prolonged clinical course and the options available for treatment are multiple. There is general agreement that most large fistulae are large and need surgical treatment. This needs a multi-pronged approach. This paper highlights one of the lesser known operations for BPF and underscores its value in difficult clinical situations.

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Section: Surgical Techniquementioning

confidence: 99%