Bronchopleural fistula after stapled closure of bronchus.
The incidence of bronchopleural fistula after stapling among 2,243 pulmonary resections at the Rush-Presbyterian-St. Luke's Medical Center has been reviewed. There were 35 fistulas in 1,773 stapled and in 470 sutured bronchi (segmentectomy, 2; lobectomy, 1; bilobectomy, 9; and pneumonectomy, 23). We have found that the stapler is expedient and simple to use, and that it produces a hermetic and uniform closure. The stapler is contraindicated when the bronchus is thickened, inflamed, or of insufficient length. The overall incidence of bronchopleural fistula was 1.6%. Approximately two thirds of the patients with bronchopleural fistula had preoperative radiation therapy or chemotherapy or both.
Vester
S R
SR
Rush-Presbyterian-St. Luke's Medical Center, Chicago, Illinois.
Faber
L P
LP
Kittle
C F
CF
Warren
W H
WH
Jensik
R J
RJ
D001983:Bronchial Fistula / Q000150:complications / Q000209:etiology*; D005402:Fistula / Q000150:complications / Q000209:etiology*; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D010995:Pleural Diseases / Q000150:complications / Q000209:etiology*; D011183:Postoperative Complications; D013528:Surgical Staplers; D013536:Suture Techniques