Two Cases of Single-Stage Closure of a Bronchopleural Fistula Using Latissimus Dorsi Musculocutaneous Flaps after Lung Surgery

Nakajima, Yuki; Akiyama, Hirohiko; Kinoshita, Hiroyasu; Inoue, Takuya; Hamahata, Atsumori; Uramoto, Hidetaka

doi:10.5761/atcs.cr.14-00349

Cited by 6 publications

(6 citation statements)

References 10 publications

(9 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Potential keys for successful one-stage surgical management may be no infection with a limited-size pleural cavity, which were supported by recent reports [ [4] , [5] , [6] , [7] ]. We were aware of the ischemic change in the bronchial stump before the dehiscence and preemptive antibiotic treatment had already been administered, which might have minimized the infection.…”

Section: Discussionsupporting

confidence: 54%

See 1 more Smart Citation

One-stage closure of large bronchopleural fistula with pedicled latissimus dorsi muscle flap after preemptive antibiotics: A case report

Okada

Shimomura

Tsunezuka

et al. 2020

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

Highlights Bronchopleural fistula (BPF) often needs two-stage closure after fenestration. This case highlights one-stage surgical closure of a large BPF with a muscle flap. Pedicled latissimus dorsi muscle flap would be useful even for 3-cm sized BPF. Preemptive antibiotics minimized local infection in ischemic bronchitis before BPF. Minimum infection with a limited-size space may be a key for one-stage closure.

show abstract

Section: Discussionsupporting

confidence: 54%

“…Recently, favourable results by one-stage closure using muscle flaps (PLD flap or PLD musculocutaneous flaps) [ 4 , 5 ] or omentum [ 6 ] were reported in cases with fistula size below 1.0 cm. Larger fistula (1.4 cm) was successfully closed with one-stage procedure using the omentum [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

One-stage closure of large bronchopleural fistula with pedicled latissimus dorsi muscle flap after preemptive antibiotics: A case report

Okada

Shimomura

Tsunezuka

et al. 2020

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

show abstract

“…Nakajima et al reported that single-stage closure may be appropriate when using a musculocutaneous flap [9]. They reported that single-stage closure without open treatment could be used in cases of good infection control by antibiotic administration and tube drainage.…”

Section: Discussionmentioning

confidence: 99%

Thoracoscopic surgery using omental flap for bronchopleural fistula

et al. 2019

View full text Add to dashboard Cite

BackgroundA bronchopleural fistula (BPF) can lead to empyema and death after pulmonary resection. A minor leakage from a BPF has been reported to be successfully closed endobronchially, although thoracoplasty is usually needed.Case presentationA case of successful thoracoscopic BPF closure using an omental flap in a 74-year-old man with emphysema who developed a BPF after right lower lobectomy for lung cancer is reported. Reoperation was performed to close the BPF using an omental flap. After successful closure of the BPF, the empyema resolved with intravenous antibiotics.ConclusionsThoracoscopic single-stage omentoplasty without thoracotomy might be a useful treatment method when a BPF is diagnosed early.

show abstract

“…It has been reported that hematomas form in 79% of cases in which a latissimus dorsi muscle flap is created (26), and it is important to continue drainage until the volume collected is less than 25 cc per day (19). Because of the previously mentioned characteristics, the combination of the latissimus dorsi muscle flap and thoracoplasty is safe and effective, even in severe cases, such as patients with bronchopleural fistula and chronic empyema following pneumonectomy (27,28).…”

Section: Latissimus Dorsi Musclementioning

confidence: 99%

Second surgery for complications of major pulmonary resection—the technique of thoracoplasty with muscle flap

Azuma¹

2023

Shanghai Chest

View full text Add to dashboard Cite

Second surgery for postoperative complications after lung resection is one of the important issues that thoracic surgeons must overcome. Chronic empyema after lung resection, which is caused by bronchopleural or pleural fistula remains a challenge in modern medicine. Especially in cases in which decortication is not indicated, treatment is difficult, hospitalization is prolonged, and the condition is sometimes life-threatening. Surgical treatment of chronic empyema requires not only decortication and debridement, but also closure of the bronchopleural fistula and obliteration of dead space. From this viewpoint, thoracoplasty and muscle flap transposition are important techniques that lead to complete and reliable closure of the empyema cavity. Although they are performed less frequently today, they are procedures with which every thoracic surgeon should be familiar. This clinical practice review focuses on the use of muscle flaps in thoracoplasty and describes the historical background, types of muscle flaps, tips on surgical techniques, and treatment results. There is a wide variety of types and utilization of muscle flaps.Since the selection of an appropriate muscle flap is directly related to the success of the treatment, careful preoperative planning is necessary. It is important to understand the characteristics of each type of muscle flap and to select the appropriate technique for the patient's pathological and general condition.

show abstract

Two Cases of Single-Stage Closure of a Bronchopleural Fistula Using Latissimus Dorsi Musculocutaneous Flaps after Lung Surgery

Cited by 6 publications

References 10 publications

One-stage closure of large bronchopleural fistula with pedicled latissimus dorsi muscle flap after preemptive antibiotics: A case report

One-stage closure of large bronchopleural fistula with pedicled latissimus dorsi muscle flap after preemptive antibiotics: A case report

Thoracoscopic surgery using omental flap for bronchopleural fistula

Second surgery for complications of major pulmonary resection—the technique of thoracoplasty with muscle flap

Contact Info

Product

Resources

About