Novel method for bronchial stump coverage for prevents postpneumonectomy bronchopleural fistula: pedicled thymopericardial fat flap
Abstract Background Bronchopleural fistula (BPF) is a serious complication with high mortality and morbidity that can be seen after lung resections. Although several methods have been described to prevent postoperative BPF it is still unclear which method is the best. In this study, we have used tym...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-11-01
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| Series: | Journal of Cardiothoracic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13019-022-02032-0 |
| _version_ | 1828197865262940160 |
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| author | Kenan Can Ceylan Güntuğ Batıhan Şeyda Örs Kaya |
| author_facet | Kenan Can Ceylan Güntuğ Batıhan Şeyda Örs Kaya |
| author_sort | Kenan Can Ceylan |
| collection | DOAJ |
| description | Abstract Background Bronchopleural fistula (BPF) is a serious complication with high mortality and morbidity that can be seen after lung resections. Although several methods have been described to prevent postoperative BPF it is still unclear which method is the best. In this study, we have used tymopericardial fat flap (TPFF) to cover the bronchial stump in patients after pneumonectomy and aim to show its feasibility and efficacy to prevent BPF. Methods Between January 2013 and June 2021, 187 patients with lung cancer underwent pneumonectomy at our institution. Among them, 53 patients underwent bronchial stump coverage with TPFF. In other 134 patients there wasn’t used any coverage method. Patient characteristics, preoperative status, surgical procedures, perioperative course, pathological findings, and long-term prognoses were evaluated retrospectively. Results Postoperative BPF was observed in 16 (%8.5) patients. It was observed that TPFF was applied in only 1 of the patients who developed BPF. A statistically significant difference was detected between TPFF-coverage with non-coverage groups in terms of postoperative BPF rates (p = 0.044). Other factors associated with the development of postoperative BPF in univariate analysis were right sided pneumonectomy, and re-operation. Conclusion Bronchial stump coverage with TPFF is a feasible and effective method to prevent postpneumonectomy BPF. |
| first_indexed | 2024-04-12T10:27:49Z |
| format | Article |
| id | doaj.art-227f69b55e3848e6914198038f19b964 |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-04-12T10:27:49Z |
| publishDate | 2022-11-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-227f69b55e3848e6914198038f19b9642022-12-22T03:36:56ZengBMCJournal of Cardiothoracic Surgery1749-80902022-11-011711810.1186/s13019-022-02032-0Novel method for bronchial stump coverage for prevents postpneumonectomy bronchopleural fistula: pedicled thymopericardial fat flapKenan Can Ceylan0Güntuğ Batıhan1Şeyda Örs Kaya2The University of Health Sciences Dr Suat Seren Chest Diseases and Chest Surgery Training and Research HospitalThe University of Health Sciences Dr Suat Seren Chest Diseases and Chest Surgery Training and Research HospitalThe University of Health Sciences Dr Suat Seren Chest Diseases and Chest Surgery Training and Research HospitalAbstract Background Bronchopleural fistula (BPF) is a serious complication with high mortality and morbidity that can be seen after lung resections. Although several methods have been described to prevent postoperative BPF it is still unclear which method is the best. In this study, we have used tymopericardial fat flap (TPFF) to cover the bronchial stump in patients after pneumonectomy and aim to show its feasibility and efficacy to prevent BPF. Methods Between January 2013 and June 2021, 187 patients with lung cancer underwent pneumonectomy at our institution. Among them, 53 patients underwent bronchial stump coverage with TPFF. In other 134 patients there wasn’t used any coverage method. Patient characteristics, preoperative status, surgical procedures, perioperative course, pathological findings, and long-term prognoses were evaluated retrospectively. Results Postoperative BPF was observed in 16 (%8.5) patients. It was observed that TPFF was applied in only 1 of the patients who developed BPF. A statistically significant difference was detected between TPFF-coverage with non-coverage groups in terms of postoperative BPF rates (p = 0.044). Other factors associated with the development of postoperative BPF in univariate analysis were right sided pneumonectomy, and re-operation. Conclusion Bronchial stump coverage with TPFF is a feasible and effective method to prevent postpneumonectomy BPF.https://doi.org/10.1186/s13019-022-02032-0Bronchopleural fistulaPneumonectomyThymopericardial fat flap |
| spellingShingle | Kenan Can Ceylan Güntuğ Batıhan Şeyda Örs Kaya Novel method for bronchial stump coverage for prevents postpneumonectomy bronchopleural fistula: pedicled thymopericardial fat flap Journal of Cardiothoracic Surgery Bronchopleural fistula Pneumonectomy Thymopericardial fat flap |
| title | Novel method for bronchial stump coverage for prevents postpneumonectomy bronchopleural fistula: pedicled thymopericardial fat flap |
| title_full | Novel method for bronchial stump coverage for prevents postpneumonectomy bronchopleural fistula: pedicled thymopericardial fat flap |
| title_fullStr | Novel method for bronchial stump coverage for prevents postpneumonectomy bronchopleural fistula: pedicled thymopericardial fat flap |
| title_full_unstemmed | Novel method for bronchial stump coverage for prevents postpneumonectomy bronchopleural fistula: pedicled thymopericardial fat flap |
| title_short | Novel method for bronchial stump coverage for prevents postpneumonectomy bronchopleural fistula: pedicled thymopericardial fat flap |
| title_sort | novel method for bronchial stump coverage for prevents postpneumonectomy bronchopleural fistula pedicled thymopericardial fat flap |
| topic | Bronchopleural fistula Pneumonectomy Thymopericardial fat flap |
| url | https://doi.org/10.1186/s13019-022-02032-0 |
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