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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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
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author Hideki Endoh
Ryohei Yamamoto
Nobuhiro Nishizawa
Yukitoshi Satoh
author_facet Hideki Endoh
Ryohei Yamamoto
Nobuhiro Nishizawa
Yukitoshi Satoh
author_sort Hideki Endoh
collection DOAJ
description 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.
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spelling doaj.art-b0475d5734614c8791e3851257db477e2022-12-21T19:12:00ZengSpringerOpenSurgical Case Reports2198-77932019-01-01511410.1186/s40792-019-0563-3Thoracoscopic surgery using omental flap for bronchopleural fistulaHideki Endoh0Ryohei Yamamoto1Nobuhiro Nishizawa2Yukitoshi Satoh3Department of Thoracic Surgery, Saku Central Hospital Advanced Care CenterDepartment of Thoracic Surgery, Saku Central Hospital Advanced Care CenterDepartment of Thoracic Surgery, Saku Central Hospital Advanced Care CenterDepartment of Thoracic Surgery, Kitasato University School of MedicineAbstract 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.http://link.springer.com/article/10.1186/s40792-019-0563-3Bronchopleural fistulaVATSOmental flap
spellingShingle Hideki Endoh
Ryohei Yamamoto
Nobuhiro Nishizawa
Yukitoshi Satoh
Thoracoscopic surgery using omental flap for bronchopleural fistula
Surgical Case Reports
Bronchopleural fistula
VATS
Omental flap
title Thoracoscopic surgery using omental flap for bronchopleural fistula
title_full Thoracoscopic surgery using omental flap for bronchopleural fistula
title_fullStr Thoracoscopic surgery using omental flap for bronchopleural fistula
title_full_unstemmed Thoracoscopic surgery using omental flap for bronchopleural fistula
title_short Thoracoscopic surgery using omental flap for bronchopleural fistula
title_sort thoracoscopic surgery using omental flap for bronchopleural fistula
topic Bronchopleural fistula
VATS
Omental flap
url http://link.springer.com/article/10.1186/s40792-019-0563-3
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AT ryoheiyamamoto thoracoscopicsurgeryusingomentalflapforbronchopleuralfistula
AT nobuhironishizawa thoracoscopicsurgeryusingomentalflapforbronchopleuralfistula
AT yukitoshisatoh thoracoscopicsurgeryusingomentalflapforbronchopleuralfistula