[Surgical treatment of bronchial fistulas after pneumonectomy].
The results of surgical treatment of 9 patients with bronchial fistulas after pneumonectomy have been analysed. During the reoperation the bronchial stump was wrapped by the omental flap with vascular pedicle (omentoplasty). In 6 patients omentoplasty was used in urgent repeated transpleural operations, in 3--during the late operations from transsternal transpericardial approach. Wedge resection of the tracheal bifurcation with omentoplasty from transsternal transpericardial approach was performed in 2 patients with a short bronchial stump. 2 patients died after surgery: one--from cardiopulmonary failure, the other one--from the relapse of bronchial fistula. Omentoplasty in patients with primary bronchial fistulas proved to be effective. It is advisable to perform reoperations during the 1st day after complications developed.
Polezhaev
A A
AA
Malyshev
A F
AF
Kulik
V V
VV
Bulatova
O N
ON
D000328:Adult; D000368:Aged; D001983:Bronchial Fistula / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009852:Omentum / Q000637:transplantation*; D011013:Pneumonectomy / Q000009:adverse effects*; D012008:Recurrence; D012086:Reoperation; D012189:Retrospective Studies; D013524:Surgical Flaps; D016896:Treatment Outcome
Khirurgicheskoe lechenie bronkhial'nykh svishcheĭ posle pnevmonéktomii.