Transsternal approach to closure of bronchopleural fistulas after pneumonectomy. A fifteen cases report

Beltrami, V; Angelici, A; Bertagni, A; Bezzi, Marcello; Ciulli, A; Forte, A; Gallinaro, L; Montesano, G; Prece, Valentina

doi:10.1016/s0169-5002(99)00136-1

Cited by 7 publications

(3 citation statements)

References 10 publications

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“…Another disputable question concerns the reasonability of supporting the bronchial stump suture line with muscle or tissue flaps on the vascular pedicle [20,78,79]. Some authors report an increased risk of bronchial fistula development after resections on lungs using additional methods for bronchial stump suture line sealing, thus indicating the ways to prevent the bronchial stump leakage: prevention of bronchus mucous membrane traumatization, tension-free closure of the bronchial stump, prevention of excessive skeletonization, precise approximation of stump edges "mucous to mucous" [24,80].…”

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confidence: 99%

TREATMENT OF BRONCHIAL FISTULA ASSOCIATED WITH NON-SPECIFIC CHRONIC PLEURAL EMPYEMA: Review

Boyko

Krasnoyaruzhsky

Sochnieva

2021

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The treatment of non-specific chronic pleural empyema with bronchial fistulae remains one of the most relevant issues in thoracic surgery. The question about the treatment phasing of bronchial fistulae associated with chronic pleural empyema is yet to be answered. Is it reasonable to seal a bronchial fistula before or after the sanitation and obliteration of the residual pleural cavity? The choice of bronchial fistula sealing technique is also a relevant issue because, in spite of the multitude of techniques, there is still no single doctrine. The terms of traditional and minimally invasive techniques aimed at bronchial fistula sealing and pleural cavity obliteration are not defined, either. This article summarises the opinions of leading authors presented in the literature concerning the solution of this complex, life-threatening problem.

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confidence: 99%

TREATMENT OF BRONCHIAL FISTULA ASSOCIATED WITH NON-SPECIFIC CHRONIC PLEURAL EMPYEMA: Review

Boyko

Krasnoyaruzhsky

Sochnieva

2021

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“…1 A post-pneumonectomy BPF is seen more often after right pneumonectomy, and a clinically more severe form than that seen after a lobectomy with a mortality rate ranging from 25 to 71%. 1,5 The carinal sleeve resection performed through rethoracotomy has lower probability of fistula recurrence as compared to other interventions. [1][2][3][4] The incidence of BPF in carinal sleeve resections is generally within the range of 3.8-21.6% in the literature.…”

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confidence: 99%

“…[1][2][3][4] The incidence of BPF in carinal sleeve resections is generally within the range of 3.8-21.6% in the literature. 1,5 The carinal sleeve resection performed through rethoracotomy has lower probability of fistula recurrence as compared to other interventions. Since the bronchial system tends, by its nature, to remain open, the outward force along the suture line in the closed bronchi increases the probability of fistula formation.…”

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confidence: 99%