Jimu Aga, Liu Xiuli, Fan Yingqi, Yu Pengfei
Department of Respiratory and Critical Care Medicine, Yantai Yuhuangding Hospital, Yantai, China.
Ann Thorac Med. 2025 Jan-Mar;20(1):82-85. doi: 10.4103/atm.atm_101_24. Epub 2024 Oct 23.
Bronchopleural fistula (BPF) is a rare yet severe complication following lobectomy, with no standardized treatment protocol established. We present a case of a 65-year-old male with chronic obstructive pulmonary disease who developed multiple BPFs postresection of the right lower lobe due to lung cancer and with tumor recurrence and metastasis. We employed a comprehensive management strategy comprising rigorous infection control, meticulous chest drainage, antitumor treatment, and targeted deployment of bronchial stents. This approach not only resolved the BPFs but also achieved a complete response of the lung cancer, extending progression-free survival to over 3 years.
支气管胸膜瘘（BPF）是肺叶切除术后一种罕见但严重的并发症，目前尚无标准化的治疗方案。我们报告一例65岁男性慢性阻塞性肺疾病患者，因肺癌行右下叶切除术后发生多处BPF，并伴有肿瘤复发和转移。我们采用了一种综合管理策略，包括严格的感染控制、细致的胸腔引流、抗肿瘤治疗以及有针对性地置入支气管支架。这种方法不仅解决了BPF问题，还使肺癌获得了完全缓解，将无进展生存期延长至3年以上。
