Combined treatment with beaded EWS, Gore‐tex patch and N‐butyl‐2‐cyanoacrylate for bronchial fistula: The novel “sandwich method”

Abstract An 84‐year‐old man underwent right basal segmentectomy for primary lung cancer and developed empyema accompanied by a bronchopleural fistula (BPF). Emergency open‐window thoracotomy was performed. Although the general and nutritional conditions improved, the fistula did not close naturally,...

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Main Authors: Marino Yamamoto, Masaya Tamura, Ryohei Miyazaki, Hironobu Okada
Format: Article
Language:English
Published: Wiley 2023-06-01
Series:Respirology Case Reports
Subjects:
Online Access:https://doi.org/10.1002/rcr2.1153
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author Marino Yamamoto
Masaya Tamura
Ryohei Miyazaki
Hironobu Okada
author_facet Marino Yamamoto
Masaya Tamura
Ryohei Miyazaki
Hironobu Okada
author_sort Marino Yamamoto
collection DOAJ
description Abstract An 84‐year‐old man underwent right basal segmentectomy for primary lung cancer and developed empyema accompanied by a bronchopleural fistula (BPF). Emergency open‐window thoracotomy was performed. Although the general and nutritional conditions improved, the fistula did not close naturally, and we planned to close it 6 months after surgery. In this report, we describe, for the first time, a novel method for closing BPF using an endobronchial Watanabe spigot (EWS), polyglycolic acid (PGA) sheet and N‐butyl‐2‐cyanoacrylate (NBCA). We named this method the“sandwich method.”
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spelling doaj.art-5918e327b8d2464685d32975097115622023-05-26T03:14:31ZengWileyRespirology Case Reports2051-33802023-06-01116n/an/a10.1002/rcr2.1153Combined treatment with beaded EWS, Gore‐tex patch and N‐butyl‐2‐cyanoacrylate for bronchial fistula: The novel “sandwich method”Marino Yamamoto0Masaya Tamura1Ryohei Miyazaki2Hironobu Okada3Department of Thoracic Surgery Kochi Medical University Nankoku‐shi JapanDepartment of Thoracic Surgery Kochi Medical University Nankoku‐shi JapanDepartment of Thoracic Surgery Kochi Medical University Nankoku‐shi JapanDepartment of Thoracic Surgery Kochi Medical University Nankoku‐shi JapanAbstract An 84‐year‐old man underwent right basal segmentectomy for primary lung cancer and developed empyema accompanied by a bronchopleural fistula (BPF). Emergency open‐window thoracotomy was performed. Although the general and nutritional conditions improved, the fistula did not close naturally, and we planned to close it 6 months after surgery. In this report, we describe, for the first time, a novel method for closing BPF using an endobronchial Watanabe spigot (EWS), polyglycolic acid (PGA) sheet and N‐butyl‐2‐cyanoacrylate (NBCA). We named this method the“sandwich method.”https://doi.org/10.1002/rcr2.1153bronchopleural fistula (BPF)endobronchial Watanabe spigot (EWS)Gore‐tex patchn‐butyl‐2‐cyanoacrylate (NBCA)
spellingShingle Marino Yamamoto
Masaya Tamura
Ryohei Miyazaki
Hironobu Okada
Combined treatment with beaded EWS, Gore‐tex patch and N‐butyl‐2‐cyanoacrylate for bronchial fistula: The novel “sandwich method”
Respirology Case Reports
bronchopleural fistula (BPF)
endobronchial Watanabe spigot (EWS)
Gore‐tex patch
n‐butyl‐2‐cyanoacrylate (NBCA)
title Combined treatment with beaded EWS, Gore‐tex patch and N‐butyl‐2‐cyanoacrylate for bronchial fistula: The novel “sandwich method”
title_full Combined treatment with beaded EWS, Gore‐tex patch and N‐butyl‐2‐cyanoacrylate for bronchial fistula: The novel “sandwich method”
title_fullStr Combined treatment with beaded EWS, Gore‐tex patch and N‐butyl‐2‐cyanoacrylate for bronchial fistula: The novel “sandwich method”
title_full_unstemmed Combined treatment with beaded EWS, Gore‐tex patch and N‐butyl‐2‐cyanoacrylate for bronchial fistula: The novel “sandwich method”
title_short Combined treatment with beaded EWS, Gore‐tex patch and N‐butyl‐2‐cyanoacrylate for bronchial fistula: The novel “sandwich method”
title_sort combined treatment with beaded ews gore tex patch and n butyl 2 cyanoacrylate for bronchial fistula the novel sandwich method
topic bronchopleural fistula (BPF)
endobronchial Watanabe spigot (EWS)
Gore‐tex patch
n‐butyl‐2‐cyanoacrylate (NBCA)
url https://doi.org/10.1002/rcr2.1153
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AT ryoheimiyazaki combinedtreatmentwithbeadedewsgoretexpatchandnbutyl2cyanoacrylateforbronchialfistulathenovelsandwichmethod
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