Video-assisted bronchial stump reinforcement with an intercostal muscle flap.
For lobectomy patients at considerable risk of developing a postoperative bronchopleural fistula, the bronchial stump reinforcement with an intercostal muscle flap is sometimes performed. This procedure usually requires a standard thoracotomy, even if video-assisted thoracoscopic surgery (VATS) is better for the patient. Our patient was a 76-year-old male with lung cancer and severe diabetes mellitus. He underwent lobectomy and systematic nodal dissection combined with bronchial stump reinforcement using an intercostal muscle flap, performed as a VATS procedure. No postoperative complications were observed. This procedure is applicable to patients who are candidates for VATS lobectomy.
Sagawa
Motoyasu
M
Department of Thoracic Surgery, Kanazawa Medical University, Ishikawa, Japan. sagawam@kanazawa-med.ac.jp
Sugita
Makoto
M
Takeda
Yuji
Y
Toga
Hirohisa
H
Sakuma
Tsutomu
T
D000368:Aged; D001980:Bronchi / Q000601:surgery*; D048909:Diabetes Complications / Q000601:surgery; D006801:Humans; D007366:Intercostal Muscles / Q000637:transplantation; D008175:Lung Neoplasms / Q000601:surgery; D008297:Male; D011013:Pneumonectomy / Q000379:methods*; D013524:Surgical Flaps; D020775:Thoracic Surgery, Video-Assisted