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Between April 1982 and March 1994, we did 384 pulmonary resections for lung cancer. Until March 1991, we did 249 pulmonary resections in which none of the bronchial stumps were reinforced; nine patients developed bronchopleural fistula (incidence, 4%). After April 1991, bronchial stumps of 135 patients were reinforced by an intercostal muscle pedicle flap for prophylaxis against bronchopleural fistula. Only one patient developed it (incidence, 1%). In these two periods, the proportion of patients in stage IIIa or more advanced stages increased from 24% to 41%, resulting in more extensive operations and more patients being given chemo-radiation therapy in the perioperative period. These are risk factors for bronchopleural fistula, but the incidence of the fistula decreased. These results suggest that reinforcement of the bronchial stump with an intercostal pedicle flap is useful for prophylaxis against developing bronchopleural fistula.
R Yamamoto, and
K Inoue, and
T Hori, and
S Takehara, and
M Kaji, and
H Kinoshita
January 2015,
Lung India : official organ of Indian Chest Society,
R Yamamoto, and
K Inoue, and
T Hori, and
S Takehara, and
M Kaji, and
H Kinoshita
August 1999,
European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery,
R Yamamoto, and
K Inoue, and
T Hori, and
S Takehara, and
M Kaji, and
H Kinoshita
March 2002,
Rozhledy v chirurgii : mesicnik Ceskoslovenske chirurgicke spolecnosti,
R Yamamoto, and
K Inoue, and
T Hori, and
S Takehara, and
M Kaji, and
H Kinoshita
August 2000,
The Japanese journal of thoracic and cardiovascular surgery : official publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka Gakkai zasshi,
R Yamamoto, and
K Inoue, and
T Hori, and
S Takehara, and
M Kaji, and
H Kinoshita
December 1989,
Kyobu geka. The Japanese journal of thoracic surgery,
R Yamamoto, and
K Inoue, and
T Hori, and
S Takehara, and
M Kaji, and
H Kinoshita
January 1956,
Gaceta medica de Mexico,
R Yamamoto, and
K Inoue, and
T Hori, and
S Takehara, and
M Kaji, and
H Kinoshita
March 1990,
[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai,
R Yamamoto, and
K Inoue, and
T Hori, and
S Takehara, and
M Kaji, and
H Kinoshita
August 1957,
The Journal of thoracic surgery,
R Yamamoto, and
K Inoue, and
T Hori, and
S Takehara, and
M Kaji, and
H Kinoshita
January 2021,
The American journal of the medical sciences,
R Yamamoto, and
K Inoue, and
T Hori, and
S Takehara, and
M Kaji, and
H Kinoshita
November 1986,
[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai,
