Bronchopleural fistula after stapled closure of bronchus

The incidence of bronchopleural fistula after stapling among 2,243 pulmonary resections at the Rush-Presbyterian-St. Luke's Medical Center has been reviewed. There were 35 fistulas in 1,773 stapled and in 470 sutured bronchi (segmentectomy, 2; lobectomy, 1; bilobectomy, 9; and pneumonectomy, 23...

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Published inThe Annals of thoracic surgery Vol. 52; no. 6; pp. 1253 - 1258
Main Authors Vester, S.Russell, Faber, L.Penfield, Kittle, C.Frederick, Warren, William H., Jensik, Robert J.
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Inc 01.12.1991
Subjects
Bronchial Fistula - complications
Bronchial Fistula - etiology
Fistula - complications
Fistula - etiology
Humans
Lung Neoplasms - surgery
Pleural Diseases - complications
Pleural Diseases - etiology
Postoperative Complications
Surgical Staplers
Suture Techniques
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Summary:The incidence of bronchopleural fistula after stapling among 2,243 pulmonary resections at the Rush-Presbyterian-St. Luke's Medical Center has been reviewed. There were 35 fistulas in 1,773 stapled and in 470 sutured bronchi (segmentectomy, 2; lobectomy, 1; bilobectomy, 9; and pneumonectomy, 23). We have found that the stapler is expedient and simple to use, and that it produces a hermetic and uniform closure. The stapler is contraindicated when the bronchus is thickened, inflamed, or of insufficient length. The overall incidence of bronchopleural fistula was 1.6%. Approximately two thirds of the patients with bronchopleural fistula had preoperative radiation therapy or chemotherapy or both.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:0003-4975
1552-6259
DOI:10.1016/0003-4975(91)90009-F