[An experience with omentopexy for the repair of postoperative bronchopleural fistula].
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.
Takenouchi
N
N
Department of Surgery, Obihiro Kosei Hospital, Japan.
Shiono
T
T
Sekishita
Y
Y
Fujimori
M
M
Sato
Y
Y
Munemura
T
T
Ootake
S
S
Niizeki
H
H
Oshikiri
T
T
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*
D015718:Fibrin Tissue Adhesive