scholarly journals METHODS OF BRONCHIAL STUMP CLOSURE BY EXTERNAL COMPRESSION

Author(s):  
G.T. Dambaev ◽  
V.E. Gunter ◽  
N.E. Kurtseitov ◽  
A.A. Nagaytsev ◽  
A.K. Ulyanov

2006 ◽  
Vol 20 (2) ◽  
pp. 116-120 ◽  
Author(s):  
Yoshiaki Nakashima ◽  
Takeshi Yamada ◽  
Masayuki Tanahashi ◽  
Yuu Hikosaka ◽  
Hiroshi Niwa


2014 ◽  
Vol 18 (4) ◽  
pp. 493-494
Author(s):  
E. Spartalis ◽  
A. Athanasiou ◽  
V. Kaminiotis ◽  
P. Tomos


1992 ◽  
Vol 168 (3) ◽  
pp. 507-513 ◽  
Author(s):  
MASAMI SATO ◽  
YASUKI SAITO ◽  
NORIYOSHI NAGAMOTO ◽  
CHIAKI ENDO ◽  
KATUO USUDA ◽  
...  


2009 ◽  
Vol 148 (2) ◽  
pp. 257-261
Author(s):  
E. B. Topolnitskiy ◽  
G. Ts. Dambaev ◽  
T. I. Fomina


2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Kimitaka Makidono ◽  
Yoshihiro Miyata ◽  
Takuhiro Ikeda ◽  
Yasuhiro Tsutani ◽  
Yuichiro Kai ◽  
...  

Abstract Background Bronchial fistula is a severe complication of pneumonectomy with a high mortality rate. We previously reported a technique for bronchial closure to prevent bronchial fistula in a canine model. We described that mucosal ablation could result in primary wound healing and involve mucosal tight adhesions histologically. In this paper, the pathologic findings of one patient, who underwent autopsy 4 years after surgery, were reviewed. Case presentation A 70-year-old Japanese man was diagnosed with malignant pleural mesothelioma and underwent right extra-pleural pneumonectomy. The right main bronchus was cut using a scalpel. When closing the bronchial stump, the bronchial mucosa was ablated by electric cautery and sutured manually using 3-0 absorbable sutures. The bronchial fistula was not found after pneumonectomy. Four years after surgery, the patient died of recurrent malignant pleural mesothelioma and underwent autopsy. Macroscopic evaluation showed tight adhesions and white scars on the bronchial stump. Microscopic findings showed few inflammatory cells and α-smooth muscle actin (α-SMA)-positive cells. Conclusions The results from this case suggested that bronchial mucosal ablation leads to robust agglutination of bronchial stump over years. This technique is not only simple but also reliable to prevent bronchial fistula.



2017 ◽  
Vol 54 (3) ◽  
pp. 520-522
Author(s):  
Bogdan Andrei Suciu ◽  
Ioana Halmaciu ◽  
Vasile Bud ◽  
Constantin Copotoiu ◽  
Decebal Romulus Petru Fodor ◽  
...  

The bronchial stump fistula shown by patients undergoing adjusted pulmonary resections is an extremely severe condition affecting the prognosis of this patients. Within our study, we have used an innovative technique of closing the bronchial stump for 38 patients undergoing adjusted pulmonary resections. The suture of the bronchial stump was made through an innovative method, by practicing the suture with isolated 2.0 Prolene wires armed with patches of Polypropylene. The incidence of the bronchial stump fistula for the observed lot was of 5.26% (2 cases), smaller than the one reported in the specialty literature. In this respect, we consider that the use of Polypropylene in the techniques of closing the bronchial blunt can be beneficial.



2019 ◽  
Vol 68 (06) ◽  
pp. 516-519
Author(s):  
Cristian Paleru ◽  
Ioan Cordoş ◽  
Olga Dănăilă ◽  
Ciprian Bolca

Introduction This article presents a series of patients on which the transcervical approach was used to close a left-sided postpneumonectomy fistula. Materials and Methods The series comprises nine patients with a left pneumonectomy performed for a tuberculosis-related suppurative disease in five cases and for lung cancer in the remaining four. This procedure can be performed under certain conditions, the most important one being the length of the bronchial stump, which should be at least 1 cm, ideally 1.5 cm. The transcervical stump closure was successfully achieved in all patients, having been more technically demanding in cancer cases with previous lymphadenectomy. The postpneumonectomy infected cavity was subsequently treated. Results The follow-up continued for at least 1 year; one individual from the cancer patients group died from an uncontrolled sepsis during the postoperative period, another one died 17 months later from metastatic cancer and two of them are alive, with no signs of neoplastic or infectious relapse 15 and 37 months, respectively, after the cervical procedure. One patient from the suppurative disease group had a relapse of the fistula 2 months after surgery, requiring additional surgical procedures to deal with this issue; all the other patients are alive, with no signs of recurrence. Conclusions The transcervical approach is a very suitable maneuver in selected patients with a bronchial stump at least 1 cm long, ideally 1.5 cm.



1976 ◽  
Vol 184 (2) ◽  
pp. 205-211 ◽  
Author(s):  
RICHARD N. SCOTT ◽  
ROBERT P. FARACI ◽  
AUBREY HOUGH ◽  
PAUL B. CHRETIEN


1965 ◽  
Vol 49 (2) ◽  
pp. 194-197 ◽  
Author(s):  
B.A. Glass ◽  
H.M. Albert


1992 ◽  
Vol 54 (2) ◽  
pp. 399 ◽  
Author(s):  
Darryl Hoffman ◽  
Robert W.M. Frater


Sign in / Sign up

Export Citation Format

Share Document