Two successful cases in the treatment of post-operative bronchial stump fistulae.
We report on two successful cases of managing lung resections that had been complicated by bronchial stump fistulae. In the first case, an endobronchial blocker tube was used to intubate the patient, in order to control inflammation in the event of aspiration pneumonia. This treatment improved the general condition, so we were able to perform a second operation to close the fistula safely. This attachment is very useful in serious cases, allowing intervention before a second operation. In the second case, a bronchial fistula recurred following a second operation, which then healed without surgical treatment. A minimal fistula may heal spontaneously when it is wrapped with an appropriate, vascularized, pedicle flap in advance, and adequate drainage is provided.
Yoshida
Kazuo
K
Department of Surgery, Shinshu University, School of Medicine, Matsumoto, Japan.
Saito
Gaku
G
D001983:Bronchial Fistula / Q000209:etiology / Q000601:surgery*; D001999:Bronchoscopy; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy; D011183:Postoperative Complications / Q000601:surgery*; D012008:Recurrence; D013529:Surgical Wound Dehiscence / Q000601:surgery