[Closure of bronchopleural fistula by video-assisted mediastinal surgery after pneumonectomy].
Disruption of a mainstream bronchus is a rare but dreaded complication of pneumonectomy. When the bronchial tump measures at least 15 mm, the conventional therapeutic strategy is to drain the pleural cavity followed by closure of the fistula via trans-mediastinal sternotomy. After an experimental study on cadavers to test the technical feasibility of main bronchus closure via a cervical approach using a video-mediastinoscope, we used video-assisted mediastinal surgery successfully in a patient with a left main bronchus fistula.
Azorin
J F
JF
Départment de Chirurgie thoracique et vasculaire, Hôpital Avicenne, Université Paris Nord, Bobigny.
Francisci
M P
MP
Tremblay
B
B
Larmignat
P
P
Carvaillo
D
D
D000368:Aged; D001983:Bronchial Fistula / Q000209:etiology / Q000601:surgery*; D004724:Endoscopy; D005402:Fistula / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008481:Mediastinoscopy; D010995:Pleural Diseases / Q000209:etiology / Q000601:surgery*; D011013:Pneumonectomy / Q000009:adverse effects
Fermeture d'une fistule broncho-pleurale après pneumonectomie par chirurgie médiastinale vidéo-assistée.