Thoracoscopic surgery using omental flap for bronchopleural fistula

Abstract Background A bronchopleural fistula (BPF) can lead to empyema and death after pulmonary resection. A minor leakage from a BPF has been reported to be successfully closed endobronchially, although thoracoplasty is usually needed. Case presentation A case of successful thoracoscopic BPF closu...

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Bibliographic Details
Main Authors: Hideki Endoh, Ryohei Yamamoto, Nobuhiro Nishizawa, Yukitoshi Satoh
Format: Article
Language:English
Published: SpringerOpen 2019-01-01
Series:Surgical Case Reports
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40792-019-0563-3
Description
Summary:Abstract Background A bronchopleural fistula (BPF) can lead to empyema and death after pulmonary resection. A minor leakage from a BPF has been reported to be successfully closed endobronchially, although thoracoplasty is usually needed. Case presentation A case of successful thoracoscopic BPF closure using an omental flap in a 74-year-old man with emphysema who developed a BPF after right lower lobectomy for lung cancer is reported. Reoperation was performed to close the BPF using an omental flap. After successful closure of the BPF, the empyema resolved with intravenous antibiotics. Conclusions Thoracoscopic single-stage omentoplasty without thoracotomy might be a useful treatment method when a BPF is diagnosed early.
ISSN:2198-7793