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Multimodal Treatment for Post-Pneumonectomy Bronchopleural Fistula Associated With Empyema. 2018
Claudio Andreetti, and
Cecilia Menna, and
Antonio D'Andrilli, and
Mohsen Ibrahim, and
Giulio Maurizi, and
Camilla Poggi, and
Erino Angelo Rendina, and
Federico Venuta, and
Mario Santini, and
Alfonso Fiorelli
Division of Thoracic Surgery, Sant'Andrea Hospital, Faculty of Medicine and Psychology, University of Rome 'Sapienza', Rome, Italy.
Post-pneumonectomy bronchopleural fistula associated with empyema still remains a dreaded complication in thoracic surgery. A variety of surgical and endoscopic procedures have been proposed over the years, but none of these has been suitable for all patients. Herein, we report a new multimodal approach, including the insertion of tracheobronchial conical stent, the open pleural packing, and the closure of bronchial stump with omentoplasty. This procedure was successfully applied in 11 patients with post-pneumonectomy bronchopleural fistula with empyema.
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