Early surgical treatment of bronchopleural fistula after pneumonectomy / 南方医科大学学报
Journal of Southern Medical University
;
(12): 1147-1149, 2010.
Artículo
en Chino
| WPRIM
| ID: wpr-289970
ABSTRACT
<p><b>OBJECTIVE</b>To investigate the method of early surgical treatment of bronchopleural fistula after pneumonectomy.</p><p><b>METHODS</b>Twelve patients (9 males and 3 females with a mean age of 58.6-/+5.7 years) with bronchopleural fistula after pneumonectomy received a reoperation within 72 h after a definite diagnosis. Empyema was found in none of the 12 cases. Fistula occurred within 4 to 17 days (8 days in average) after the operation. The fistula of the residual main bronchus was resected, and the thoracic cavity was asepticized by flushing.</p><p><b>RESULTS</b>Ten patients were discharged with complete healing. One patient was discharged following open drainage with daily change of the wound dress. One patient died due to multiple organ failure. The hospital stay of the patients ranged from 18 to 49 days (31 days in average) after the reoperation.</p><p><b>CONCLUSION</b>Bronchopleural fistula after pneumonectomy, in case that empyema and multiple organ failure do not occur, can be healed by closing the fistula with the stapling device in early stage. Flushing the thoracic cavity is also necessary after the reoperation.</p>
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Pleura
/
Enfermedades Pleurales
/
Neumonectomía
/
Cirugía General
/
Procedimientos Quirúrgicos Pulmonares
/
Factores de Tiempo
/
Fístula Bronquial
/
Métodos
Límite:
Femenino
/
Humanos
/
Masculino
Idioma:
Chino
Revista:
Journal of Southern Medical University
Año:
2010
Tipo del documento:
Artículo
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