title: Two Cases of Single-Stage Closure of a Bronchopleural Fistula Using Latissimus Dorsi Musculocutaneous Flaps after Lung Surgery.
abstract: Two cases of successful primary closure of a bronchopleural fistula with favorable infection control using latissimus dorsi musculocutaneous flaps are reported. Case 1 was a 70-year-old man who underwent resection of the right lower pulmonary lobe due to right lung metastasis of sigmoid colon cancer. A bronchopleural fistula was found on day 28 after surgery. Infection was controlled by antibiotic administration and tube drainage. Closure of the bronchopleural stump, thoracoplasty and plombage of latissimus dorsi muscles were performed for single-stage closure without open treatment, based on a negative pleural effusion culture. Case 2 was a 64-year-old man who underwent right lower pulmonary lobe resection due to right lung cancer. A bronchopleural fistula was found on day 14 after surgery. In single-stage closure, thoracoplasty and plombage of latissimus dorsi muscles were performed due to infection control and a negative pleural effusion culture. Both cases had a good postoperative course.
authors.affiliation: Division of Thoracic Surgery, Saitama Cancer Center, Ina, Kitaadachi, Saitama, Japan.
authors.forename: Yuki
authors.initials: Y
authors.lastname: Nakajima
authors.forename: Hirohiko
authors.initials: H
authors.lastname: Akiyama
authors.forename: Hiroyasu
authors.initials: H
authors.lastname: Kinoshita
authors.forename: Takuya
authors.initials: T
authors.lastname: Inoue
authors.forename: Atsumori
authors.initials: A
authors.lastname: Hamahata
authors.forename: Hidetaka
authors.initials: H
authors.lastname: Uramoto
mesh_terms: D000368:Aged; D001983:Bronchial Fistula / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008175:Lung Neoplasms / Q000556:secondary / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D064827:Myocutaneous Flap; D010995:Pleural Diseases / Q000175:diagnosis / Q000601:surgery*; D011013:Pneumonectomy; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery*; D012086:Reoperation; D064171:Superficial Back Muscles / Q000637:transplantation*