Reoperation for left main bronchial stump fistula developing after pneumonectomy

Hiroyuki Oura, S. Ueda, T. Sawada, Y. Watanabe, M. Handa, N. Tomichi

Research output: Contribution to journalArticlepeer-review

Abstract

We report the case of a 71-year-old male patient who underwent reoperation for bronchial stump fistula developing after left pneumonectomy for adenocarcinoma of the left lung (clinical stage IIB). After surgery, he developed persistent, severe cough and chest X-ray films taken on the 23rd postoperative day showed a drop in the air-fluid level in the left lung field, which, along with bronchoscopic findings, strongly suggested the bronchial stump fistula and subsequent reoperation was performed. Both superior pulmonary vein and main pulmonary artery were dissected again proximally in pericardium, and the left main bronchus was separated from the surrounding tissue. Bronchial stump was closed with a stapler as close to the carina as possible, and additional resection was performed. After reoperation, the patient had an uneventful course, and was discharged in the second postoperative week. Shorter length of bronchial stump may be the most important factor to prevent the bronchial stump fistula developing after pneumonectomy.

Original languageEnglish
Pages (from-to)466-469
Number of pages4
JournalKyobu geka. The Japanese journal of thoracic surgery
Volume61
Issue number6
Publication statusPublished - 2008 Jun
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)

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