Closure of Left-Sided Postpneumonectomy Bronchopleural Fistula by Partial Cervicosternotomy. Surgical Technique and Results
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Abstract
Introduction: Bronchopleural fistula (BPF) is a severe complication of pneumonectomy and its surgical management remains a challenge. The aim of our study is to describe the surgical technique used for the closure of post-left pneumonectomy BPF and its postoperative outcomes.
Methods: Case series of patients with post- left pneumonectomy BPF who underwent surgery between 2017 and 2020, in whom closure was performed through a cervico- partial sternotomy approach.
Results: Four of the five patients had a history of completion pneumonectomy, and one underwent pneumonectomy as the initial treatment. The most frequent underlying pathology was pulmonary hydatid cyst (4/5 cases). The minimum observed bronchial stump length for closure was 1.5 cm. All patients received treatment for pleural empyema and no BPF recurrence was observed during a one-year follow-up.
Conclusion: Partial cervico- sternotomy is a feasible and safe surgical approach for the closure of post- left pneumonectomy BPF in selected patients.
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