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Broncho pleural fistula

Leonardo Duranti, Luca Tavecchio, Giovanni Leuzzi, Ugo Pastorino
No abstract text is available yet for this article.
February 1, 2017: European Journal of Cardio-thoracic Surgery
Sang Gi Oh, Yochun Jung, Sanghoon Jheon, Yunhee Choi, Ju Sik Yun, Kook Joo Na, Byoung Hee Ahn
BACKGROUND: Results of studies to predict prolonged air leak (PAL; air leak longer than 5 days) after pulmonary lobectomy have been inconsistent and are of limited use. We developed a new scale representing the amount of early postoperative air leak and determined its correlation with air leak duration and its potential as a predictor of PAL. METHODS: We grade postoperative air leak using a 5-grade scale. All 779 lobectomies from January 2005 to December 2009 with available medical records were reviewed retrospectively...
January 23, 2017: Journal of Cardiothoracic Surgery
Fadil Gradica, Lutfi Lisha, Dhimitraq Argjri, Cani Alma, Fahri Kokici, Flora Gradica, Valbona Rexha, Sali Gradica, Donika Ahmati, Perlat Kapisyzi
No abstract text is available yet for this article.
October 2016: Journal of Thoracic Oncology
Leonardo Duranti, Luca Tavecchio, Giovanni Leuzzi, Ugo Pastorino
We herein report a case of a 56-year old man who underwent an intrapericardial right pneumonectomy plus partial left atrial resection for a lung sarcomatoid carcinoma. One month after surgery, the patient developed a broncho-pleural fistula in the right main bronchus. After the failure of several consecutive conservative and surgical treatments (bronchoscopic submucosa injection of fibrin glue, thoracostomy, Amplatzer device placement, omentoplasty, VAC therapy), the patient developed a pleural empyema. So, we decided to fill the pleural space with granulated sugar (changing thoracostomy dressing daily) with subsequent clinical improvement, allowing a definitive surgical closure through a thoracoplasty...
July 1, 2016: European Journal of Cardio-thoracic Surgery
Naseem Salahuddin, Naila Baig-Ansari, Saulat Hasnain Fatimi
To our knowledge, this is an unusual case of a community-acquired pneumonia (CAP) with sepsis secondary to Streptococcus pneumoniae that required lung resection for a non-resolving consolidation. A 74 year old previously healthy woman, presented with acute fever, chills and pleuritic chest pain in Emergency Department (ED). A diagnosis of CAP was established with a Pneumonia Severity Index CURB-65 score of 5/5. In the ER, she was promptly and appropriately managed with antibiotics and aggressive supportive therapy...
June 2016: JPMA. the Journal of the Pakistan Medical Association
Takuma Tsukioka, Makoto Takahama, Ryu Nakajima, Michitaka Kimura, Hidetoshi Inoue, Ryoji Yamamoto
BACKGROUND: Pulmonary and left atrial resection is not yet an established treatment for patients with primary lung cancer involving the left atrium. We investigated the clinical course of patients with primary lung cancer involving the left atrium who were treated with pulmonary resection and partial atrial resection. METHODS: From January 1996 to December 2013, 51 patients underwent extended resection for lung cancer that invaded the surrounding organs. Of these, we focused on 12 patients who underwent surgical treatment for lung cancer involving the left atrium...
December 2016: International Journal of Clinical Oncology
Elaine Soon, Pasupathy Sivasothy
No abstract text is available yet for this article.
July 15, 2016: American Journal of Respiratory and Critical Care Medicine
Mohamed-Sadok Boudaya, Walid Abid, Mona Mlika
Sleeve resection is a valid option in the surgical treatment of lung tumors, avoiding large resection. To ensure a good functional result and avoid post-operative complications like recent broncho-pleural fistulas and long-term stenosis, anastomosis between bronchi must be well performed. We report two cases of sleeve resection of the right lower lobe and show how we managed caliber discrepancy between the middle lobe bronchus and the truncus intermedius.
February 2016: Indian Journal of Surgery
Dongsub Noh, Chang-Kwon Park
Broncho-pleural fistula (BPF) and esophago-pleural fistula (EPF) after pulmonary resection are challenging to manage. BPF is controlled by irrigation and sterilization, but such therapy is not sufficient to promote closure of EPF, which usually requires surgical management. However, it is generally difficult to select an appropriate surgical method for closure of BPF and EPF. Here, we report a case of concomitant BPF and EPF after left completion pneumonectomy, in which both fistulas were closed through a right thoracotomy...
April 2016: Korean Journal of Thoracic and Cardiovascular Surgery
E V Levchenko, S M Ergnian, V A Shutov, A S Barchuk
AIM: To evaluate results of circular resection and carina reconstruction in patients with bronchial cancer. MATERIAL AND METHODS: Study included 82 patients with bronchial malignant tumors operated for the period from 1998 to 2014. Mean age was 56±1.1 years (range 24-75). There were 75 men and 7 women. Squamous cell carcinoma, adenocarcinoma, dimorphic cancer, carcinoid, adenocystic cancer, small cell cancer and clear cell renal cancer were observed in 66, 9, 1, 3, 1, 1 and 1 patients respectively...
2016: Khirurgiia
Hyun Jung Yoon, Myung Jin Chung, Kyung Soo Lee, Jung Soo Kim, Hye Yun Park, Won-Jung Koh
OBJECTIVE: To determine the patho-mechanism of pleural effusion or hydropneumothorax in Mycobacterium avium complex (MAC) lung disease through the computed tomographic (CT) findings. MATERIALS AND METHODS: We retrospectively collected data from 5 patients who had pleural fluid samples that were culture-positive for MAC between January 2001 and December 2013. The clinical findings were investigated and the radiological findings on chest CT were reviewed by 2 radiologists...
March 2016: Korean Journal of Radiology: Official Journal of the Korean Radiological Society
Mohsen Ibrahim, Fioralba Pindozzi, Cecilia Menna, Erino A Rendina
Diffuse tracheobronchial calcification is a physiological condition associated with advanced age, especially in women. A calcified bronchus can be fractured during major lung resections (lobectomy, bilobectomy, and pneumonectomy), exposing patients to intraoperative air leakage and broncho-pleural fistula (BPF) occurrence. We retrospectively evaluated the use of Progel® application on the suture line of bronchial stump after pulmonary lobectomy analysing the intraoperative air leak and BPF occurrence. Between January 2014 and December 2014, Progel® was applied in 11 patients who presented intraoperative bronchial fractures after suture resection by mechanical staplers and air leak from bronchial stump, in order to treat air leakage...
February 2016: Interactive Cardiovascular and Thoracic Surgery
Jiro Abe, Toru Hasumi, Satomi Takahashi, Ryota Tanaka, Taku Sato, Toshimasa Okazaki
A broncho-pulmonary artery fistula is one of the most fatal complications of lung cancer surgery. This article discusses the case of a patient who died of massive hemoptysis after a left upper lobectomy. There were no previous signs of broncho-pleural fistula except for an obstinate dry cough and slightly elevated serum C-reactive protein levels after surgery. An autopsy revealed that a fistula had formed between the bronchial stump and the pulmonary artery, leading to prolonged inflammation and ultimately a broncho-pulmonary artery fistula...
2015: Journal of Surgical Case Reports
Venkatraman S Bhat, Manjunath Poojaramuddanahalli, Natarajan Rajagopalan, Karthik Gadabanahalli
Spontaneous extension of air from the pleural space to the chest wall, also referred to as pneumothorax necessitans (PN), is a rare occurrence. Few of such cases have been reported in the literature, some appear to have a pattern of extension from pleural cavity to chest wall. Clinical conditions known to predispose to this complication are pneumothorax, empyema thoracis and tuberculosis of the pleural space or rib. We report a case of PN arising as complication of postpneumonectomy empyema (PPE) secondary to broncho-pleural fistula...
June 2015: Journal of Clinical and Diagnostic Research: JCDR
Gerard R Alexander, Bruce Biccard
OBJECTIVES: This review was undertaken to compare treatment outcomes in human immunodeficiency virus (HIV) negative versus HIV-positive patients following adjuvant lung resection for drug-resistant tuberculosis (DR-TB) in patients deemed feasible for surgery. Despite appropriate medical therapy, mortality remains extremely high and cure rates poor in patients with DR-TB and HIV co-infection. Therefore, adjuvant lung resection may warrant a more prominent role in the treatment of these patients...
March 2016: European Journal of Cardio-thoracic Surgery
Takuma Tsukioka, Makoto Takahama, Ryu Nakajima, Michitaka Kimura, Keiko Tei, Ryoji Yamamoto
A 61-year-old man with right lung cancer underwent right lower lobectomy. He suffered from postoperative broncho-pleural fistula, which was treated with thoracic drainage. After disappearance of air leakage, a drainage tube was removed. Forty days later, severe back pain, cough and fever were observed. Chest computed tomography showed enlarged thoracic cavity around the bronchial stump. Bronchoscopical examination revealed complete dehiscence of the bronchial stump. Because thoracic cavity was localized and located dorsal to the bronchial stump, a fenestration surgery was difficult...
June 2015: Kyobu Geka. the Japanese Journal of Thoracic Surgery
Yutaka Nishinari, Masahiro Kashiwaba, Akira Umemura, Hideaki Komatsu, Akira Sasaki, Go Wakabayashi
BACKGROUND: It is extremely rare for pulmonary hilar lymph node metastasis (PHLNM) of a cancer to be independently lethal. Here, we report an exceedingly rare case of cavitation in PHLNM from breast cancer triggering broncho-pleural fistula and empyema (BPFE), complicated with superior vena cava syndrome (SVCS). CASE REPORT: A 56-year-old woman who had undergone left segmental mastectomy and axillary lymph node dissection due to left breast cancer was then treated for 1 year with postoperative adjuvant chemotherapy...
2014: American Journal of Case Reports
Paolo Laperuta, Filomena Napolitano, Alessandro Vatrella, Rosa Maria Di Crescenzo, Antonio Cortese, Vincenzo Di Crescenzo
Broncho-pleural fistula (BPF), is a dramatic complication that may occur after lung resection. The treatment is challenging due to its high rate of morbidity and mortality. Herein, a case of BPF associated with empyema, occurred in an elderly patient who had undergone to left pneumonectomy for non-small cell lung cancer (NSCLC), is reported. After various treatments including chest drainage and endoscopic procedures, BPF was successfully closed by open-window thoracotomy associated with vacuum assisted closure (V...
2014: International Journal of Surgery
Ravindra Kumar Dewan, Loven Moodley
Most of thoracic surgery developed as a result of efforts to treat tuberculosis (TB). The role of surgical therapy has declined but the role of surgery in TB still remains in situations like diagnostic difficulties, persistent sputum positive state despite therapy and complications and sequel like haemoptysis, destroyed or bronchiectatic lungs or empyema with or without broncho-pleural fistula (BPF). Various procedures have a role according to the indication. Some of the procedures have become obsolete but lobectomy, pneumonectomy, thoracoplasty, decortication and open window thoracostomy continue to be relevant...
March 2014: Journal of Thoracic Disease
Antonio Iannelli, Reza Tavana, Francesco Martini, Patrick Noel, Jean Gugenheim
BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) is an increasingly popular bariatric procedure. A chronic fistula at the esophago-gastric junction (EGJ) is a rare but life-threatening complication of this procedure whose causes are still unclear and management is still controversial. METHODS: A 41-year-old woman with a body mass index (BMI) of 38 developed an EGJ leak 6 days post-LSG. Despite initial control with conservative measures, the leak persisted and resulted in a left pleural abscess and a broncho-pleural fistula requiring thoracotomy with resection of the abscessed lung parenchyma...
May 2014: Obesity Surgery
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