Management of postpneumonectomy empyema and bronchopleural fistula.
Postpneumonectomy empyema with or without fistula is a serious complication. Management includes drainage, antibiotherapy, debridement closure of the bronchopleural fistula when present, and obliteration of the residual pleural space. Excellent results can be obtained in most patients using the Clagett procedure and its modification. A detailed description of each step of the surgical treatment of postpneumonectomy empyema and associated bronchopleural fistula is provided.
Deschamps
C
C
Section of General Thoracic Surgery, Mayo Clinic and Mayo Foundation, Rochester, Minnesota, USA.
Pairolero
P C
PC
Allen
M S
MS
Trastek
V F
VF
D001983:Bronchial Fistula / Q000209:etiology / Q000628:therapy; D003646:Debridement; D004322:Drainage; D016724:Empyema, Pleural / Q000209:etiology / Q000628:therapy*; D005402:Fistula / Q000209:etiology / Q000628:therapy*; D006801:Humans; D010995:Pleural Diseases / Q000209:etiology / Q000628:therapy*; D011013:Pneumonectomy / Q000009:adverse effects*; D011183:Postoperative Complications / Q000628:therapy*; D013524:Surgical Flaps