The value of Asamura-Naruke type main bronchus stump closure and pleuro-pericardial flap covering by own method to avoid broncho-pleural fistula (BPF).
1. Authors present an "old-new" main bronchus closure procedure, which combines the Sweet's and Overholt's methods, recommended by Asamura-Naruke. 2. The A-N procedure decreased the prevalence of BPF from 2.8% to 0.09% in case of thoracotomy and from 9.5% to 2.4% in case of pneumonectomy compared 2 different stump-closing types. 3. There was not BPF in the "covered subgroup" (0%/92 PN) recommended by us, independent of the closing types. 4. All bronchial stumps closed like A-N and covered by our method (0% BPF/62 PN) healed.
Kecskés
L
L
Vas County Markusovszky Hospital, Szombathely, Hungary.
Bátori
G
G
Gehér
P
P
Kiss
B
B
D001980:Bronchi / Q000601:surgery*; D001983:Bronchial Fistula / Q000209:etiology / Q000517:prevention & control; D006801:Humans; D010995:Pleural Diseases / Q000209:etiology / Q000517:prevention & control; D011013:Pneumonectomy / Q000009:adverse effects / Q000379:methods*; D016156:Respiratory Tract Fistula / Q000209:etiology / Q000517:prevention & control*; D013524:Surgical Flaps