Billè Andrea, Giovannetti Riccardo, Calarco Giuseppe, Pastorino Ugo
Tumori. 2014 Jul-Aug;100(4):157e-9e. doi: 10.1700/1636.17938.
Bronchopleural fistula (BPF) after pneumonectomy remains a dangerous complication with high mortality and morbidity. Primary closure of the fistula with muscle flaps and a thoracic window is generally used to treat BPF. New techniques for secondary stump closure including glues, stents and coils have been introduced recently. We report the use of a J-shaped tracheal stent device placed during bronchoscopy combined with omentoplasty to control the symptoms related to BPF and pleural space infection, respectively.
肺切除术后支气管胸膜瘘(BPF)仍然是一种危险的并发症,死亡率和发病率都很高。通常采用肌瓣和胸廓开窗对瘘口进行一期闭合来治疗BPF。最近还引入了包括胶水、支架和线圈在内的用于二次残端闭合的新技术。我们报告了在支气管镜检查期间放置J形气管支架装置并联合网膜成形术,分别控制与BPF和胸膜腔感染相关的症状。