Yanagisawa H, Sudo K, Koishizawa T, Hayashi N, Tadokoro M, Kokubo J, Nonaka K, Fujiki T, Ikeda K, Mizuno A
Department of Cardio-Thoracic Surgery, Kyorin University School of Medicine.
Kyobu Geka. 1992 Oct;45(11):975-8.
A case of successful endoscopic closure of a bronchopleural fistula with fibrin glue was reported. Fifty-eight-year-old man underwent right lower lobectomy for lung carcinoma. On the 21st postoperative day, he suffered from high fever and diagnosed as right side pyothorax. Then tube thoracotomy was done under UCG-guide. As a fistula in the right lower bronchial stump was found tiny by BFS, we tried to close the fistula bronchoscopically with fibrin glue. The fibrin glue was injected into the fistula via the ERCP tube, which was passed through the bronchoscope. This procedure was performed twice for two weeks interval. The fistula was completely closed about a month after the trial. This method is useful to close postoperative small bronchopleural fistula without surgical intervention.
报道了一例使用纤维蛋白胶成功内镜下闭合支气管胸膜瘘的病例。一名58岁男性因肺癌接受了右下肺叶切除术。术后第21天,他出现高热,被诊断为右侧脓胸。随后在超声心动图引导下行胸腔闭式引流术。经支气管纤维镜检查发现右下支气管残端有一微小瘘口,我们尝试用纤维蛋白胶经支气管镜进行瘘口闭合。通过经支气管镜插入的内镜逆行胰胆管造影(ERCP)管将纤维蛋白胶注入瘘口。此操作间隔两周进行了两次。尝试后约一个月瘘口完全闭合。该方法对于闭合术后小支气管胸膜瘘而无需手术干预是有用的。