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The management of a postoperative bronchopleural fistula remains a major challenge for the thoracic surgeon. We present a series of three patients who underwent closure of the fistulas with the distal flap of the divided latissimus dorsi muscle (the reverse latissimus dorsi muscle flap) and a limited thoracoplasty. The primary resections, which were performed through a standard posterolateral thoracotomy, were right lower lobectomy in two patients and right middle and lower bilobectomy in the other. The initial myoplasty produced prompt fistula closure in 2 patients and failed in the other patient because of a large empyema space. The reverse latissimus dorsi muscle flap could be used for the management of bronchopleural fistula in selected patients who underwent lower lobectomy or middle and lower bilobectomy.
K Yokoi, and
N Miyazawa, and
K Kawashima, and
H Shimizu, and
T Minabe, and
H Nakajima
January 2009,
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K Yokoi, and
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H Nakajima
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K Yokoi, and
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K Yokoi, and
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K Yokoi, and
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K Yokoi, and
N Miyazawa, and
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K Yokoi, and
N Miyazawa, and
K Kawashima, and
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H Nakajima
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K Yokoi, and
N Miyazawa, and
K Kawashima, and
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H Nakajima
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K Yokoi, and
N Miyazawa, and
K Kawashima, and
H Shimizu, and
T Minabe, and
H Nakajima
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The Japanese journal of thoracic and cardiovascular surgery : official publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka Gakkai zasshi,
