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. 2018 Dec;106(6):e337-e339.
doi: 10.1016/j.athoracsur.2018.05.094.

Multimodal Treatment for Post-Pneumonectomy Bronchopleural Fistula Associated With Empyema

Claudio Andreetti  1 , Cecilia Menna  1 , Antonio D'Andrilli  1 , Mohsen Ibrahim  1 , Giulio Maurizi  1 , Camilla Poggi  2 , Erino Angelo Rendina  3 , Federico Venuta  4 , Mario Santini  5 , Alfonso Fiorelli  6
Affiliations

Multimodal Treatment for Post-Pneumonectomy Bronchopleural Fistula Associated With Empyema

Claudio Andreetti et al. Ann Thorac Surg. 2018 Dec.

Abstract

Post-pneumonectomy bronchopleural fistula associated with empyema still remains a dreaded complication in thoracic surgery. A variety of surgical and endoscopic procedures have been proposed over the years, but none of these has been suitable for all patients. Herein, we report a new multimodal approach, including the insertion of tracheobronchial conical stent, the open pleural packing, and the closure of bronchial stump with omentoplasty. This procedure was successfully applied in 11 patients with post-pneumonectomy bronchopleural fistula with empyema.

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Comment in

  • Is It Time for a Perioperative Registry on Pneumonectomy Surgery?
    Ariyaratnam P. Ariyaratnam P. Ann Thorac Surg. 2019 Mar;107(3):986. doi: 10.1016/j.athoracsur.2018.08.043. Epub 2018 Oct 10. Ann Thorac Surg. 2019. PMID: 30315801 No abstract available.
  • Reply.
    Andreetti C, Tiracorrendo M, Rendina EA, Santini M, Fiorelli A. Andreetti C, et al. Ann Thorac Surg. 2019 Mar;107(3):986-987. doi: 10.1016/j.athoracsur.2018.09.010. Epub 2018 Oct 25. Ann Thorac Surg. 2019. PMID: 30617021 No abstract available.

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