title: [An experience with omentopexy for the repair of postoperative bronchopleural fistula].
abstract: Postoperative bronchopleural fistula has been the most troublesome complications in the thoracic surgery. In this report, we presented a case of bronchopleural fistula successfully closed by omentopexy. A 51-year-old man had undergone left upper lobectomy and S6 segmentectomy for primary lung cancer. Bronchopleural fistula due to postoperative pneumonia was developed and completion pneumonectomy with the intercostal-musclo-pexy was performed. Post-re-operative course was unsuccessful, bronchopleural fistula remained, so we tried re-closure of the bronchial stump by omentopexy without thoracoplasty or muscle flap plombage. About a half year after 3rd operation, he relapsed into bronchopleural fistula. Then fibrin gluing was performed via a flexible fiberoptic bronchoscope without hospitalization, and the omental flap was fixed completely to the bronchial stump. We believe the omentopexy a useful procedure for treating postoperative bronchopleural fistula which can't make any chest-wall deformation.
authors.affiliation: Department of Surgery, Obihiro Kosei Hospital, Japan.
authors.forename: N
authors.initials: N
authors.lastname: Takenouchi
authors.forename: T
authors.initials: T
authors.lastname: Shiono
authors.forename: Y
authors.initials: Y
authors.lastname: Sekishita
authors.forename: M
authors.initials: M
authors.lastname: Fujimori
authors.forename: Y
authors.initials: Y
authors.lastname: Sato
authors.forename: T
authors.initials: T
authors.lastname: Munemura
authors.forename: S
authors.initials: S
authors.lastname: Ootake
authors.forename: H
authors.initials: H
authors.lastname: Niizeki
authors.forename: T
authors.initials: T
authors.lastname: Oshikiri
mesh_terms: D001983:Bronchial Fistula / Q000601:surgery*; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use; D005402:Fistula / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009852:Omentum / Q000637:transplantation*; D010995:Pleural Diseases / Q000601:surgery*; D011013:Pneumonectomy; D011183:Postoperative Complications / Q000601:surgery*
chemical_list: D015718:Fibrin Tissue Adhesive