[Bronchopleural fistula after pulmonary resection of lung cancer].
From 1977 to 1988, 390 cases of lung cancer were resected in our hospital. In 12 patients (3.1%) a postoperative bronchopleural fistula developed. This complication occurred more commonly after right pulmonary resection than left and most common after right pneumonectomy. Moreover, that had occurred following right pneumonectomy was most fatal. After right middle and lower lobectomy, this complication occurred at the same rate as after pneumonectomy and also caused a fatal result. On the other hand, after the resection of single lobe, the rate of the occurrence of a bronchopleural fistula was lower. And, even if it had developed, the fistula sometimes could be healed by a conservative treatment only. In one of our cases the fistula was successfully treated by intra-bronchial gluing through a bronchofiberscope.
Akaogi
E
E
Department of Surgery, Tsukuba University, Japan.
Mitsui
K
K
Sohara
Y
Y
Endo
K
K
Kamiyama
K
K
Endo
S
S
Yamamoto
T
T
Fujiwara
A
A
Yuasa
H
H
Fukue
M
M
D000368:Aged; D001983:Bronchial Fistula / Q000453:epidemiology / Q000209:etiology*; D005402:Fistula / Q000453:epidemiology / Q000209:etiology*; D006801:Humans; D007564:Japan / Q000453:epidemiology; D008175:Lung Neoplasms / Q000453:epidemiology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010995:Pleural Diseases / Q000453:epidemiology / Q000209:etiology*; D011013:Pneumonectomy / Q000009:adverse effects*; D012189:Retrospective Studies