title: Repair of postpneumonectomy bronchopleural fistula using pedicled pericardial flap supported by fibrin glue.
abstract: Effective closure of the postpneumonectomy bronchopleural fistula (PBF) with the use of different techniques still remains a challenge for thoracic surgeons. The aim of this study was to evaluate the efficacy of modified method of PBF closure using pedicled pericardial flap (PPF) supported by fibrin glue (FG). The efficacy of the late PBF closure with the use of two surgical methods was compared. In 10 patients, the edges of the PBF were covered with FG and PPF. In the second group of nine patients, myoplasty was used to close the bronchial fistula. Postsurgical follow-up was for 1 year. In the first group, the healing of the fistula was achieved in 100% of the cases, whereas in the second, myoplasty group, healing was achieved in only 66·67% of the cases. The number of complications was similar in both groups. Pericardial flap supported by fibrin glue can be an effective method adjunctive to the treatment of PBF in selected patients.
authors.affiliation: Department of Thoracic Surgery, General and Oncological Surgery, Medical University of Lodz, Łódź, Poland.
authors.forename: Sławomir
authors.initials: S
authors.lastname: Jabłoński
authors.forename: Marian
authors.initials: M
authors.lastname: Brocki
authors.forename: Piotr
authors.initials: P
authors.lastname: Klejszmit
authors.forename: Leszek
authors.initials: L
authors.lastname: Kutwin
authors.forename: Marcin
authors.initials: M
authors.lastname: Wawrzycki
authors.forename: Jacek
authors.initials: J
authors.lastname: Śmigielski
mesh_terms: D000328:Adult; D000368:Aged; D001983:Bronchial Fistula / Q000209:etiology / Q000601:surgery*; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010995:Pleural Diseases / Q000209:etiology / Q000601:surgery*; D011013:Pneumonectomy / Q000009:adverse effects*; D012189:Retrospective Studies; D013524:Surgical Flaps; D014014:Tissue Adhesives / Q000627:therapeutic use*; D016896:Treatment Outcome
chemical_list: D015718:Fibrin Tissue Adhesive; D014014:Tissue Adhesives
keywords: Pedicled flaps; Pericardial flap; Postpneumonectomy bronchial fistula; Postpneumonectomy empyema; Thoracostomy
references.citation: Ann Thorac Surg. 2001 Nov;72(5):1662-7
references.pmid: 11722062
references.citation: Eur J Cardiothorac Surg. 1999 Oct;16(4):418-23
references.pmid: 10571088
references.citation: J Thorac Cardiovasc Surg. 1998 Feb;115(2):466-7
references.pmid: 9475544
references.citation: Ann Thorac Surg. 1998 Sep;66(3):923-7
references.pmid: 9768953
references.citation: Asian Cardiovasc Thorac Ann. 2008 Dec;16(6):450-3
references.pmid: 18984752
references.citation: Asian Cardiovasc Thorac Ann. 2010 Oct;18(5):443-9
references.pmid: 20947598
references.citation: Chest. 1990 Mar;97(3):721-8
references.pmid: 2407455
references.citation: Ann Thorac Surg. 1995 Sep;60(3):729-33
references.pmid: 7677520
references.citation: Ann Thorac Surg. 1998 Mar;65(3):807-9
references.pmid: 9527218
references.citation: Ann Thorac Surg. 2005 Jan;79(1):284-8
references.pmid: 15620959
references.citation: Eur J Cardiothorac Surg. 1999 Aug;16(2):181-6
references.pmid: 10485418
references.citation: Eur J Cardiothorac Surg. 1994;8(3):122-4
references.pmid: 8011343
references.citation: Asian Cardiovasc Thorac Ann. 2006 Aug;14(4):265-72
references.pmid: 16868097
references.citation: J Thorac Surg. 1953 Nov;26(5):507-32
references.pmid: 13109884
references.citation: Eur J Cardiothorac Surg. 1999 Jun;15(6):758-63
references.pmid: 10431855
references.citation: J Thorac Cardiovasc Surg. 1996 Nov;112(5):1367-71
references.pmid: 8911336
references.citation: Eur J Cardiothorac Surg. 2006 Oct;30(4):652-6
references.pmid: 16935519
references.citation: J Thorac Cardiovasc Surg. 1990 Jun;99(6):958-66; discussion 966-8
references.pmid: 2359336
references.citation: Ann Thorac Surg. 1987 Mar;43(3):295-7
references.pmid: 3827374
references.citation: J Thorac Cardiovasc Surg. 2008 Jul;136(1):179-85
references.pmid: 18603072
references.citation: J Thorac Cardiovasc Surg. 1992 Nov;104(5):1456-64
references.pmid: 1434730
references.citation: J Thorac Cardiovasc Surg. 1994 May;107(5):1251-4
references.pmid: 8176968