Noh Dongsub, Park Chang-Kwon
Department of Thoracic and Cardiovascular Surgery, Keimyung University Dongsan Medical Center, Keimyung University School of Medicine.
Korean J Thorac Cardiovasc Surg. 2016 Apr;49(2):138-40. doi: 10.5090/kjtcs.2016.49.2.138. Epub 2016 Apr 5.
Broncho-pleural fistula (BPF) and esophago-pleural fistula (EPF) after pulmonary resection are challenging to manage. BPF is controlled by irrigation and sterilization, but such therapy is not sufficient to promote closure of EPF, which usually requires surgical management. However, it is generally difficult to select an appropriate surgical method for closure of BPF and EPF. Here, we report a case of concomitant BPF and EPF after left completion pneumonectomy, in which both fistulas were closed through a right thoracotomy.
肺切除术后的支气管胸膜瘘（BPF）和食管胸膜瘘（EPF）的处理具有挑战性。BPF可通过冲洗和消毒来控制，但这种治疗不足以促进EPF的闭合，EPF通常需要手术治疗。然而，一般很难为BPF和EPF的闭合选择合适的手术方法。在此，我们报告1例左全肺切除术后并发BPF和EPF的病例，该病例中两个瘘均通过右胸切开术闭合。
