Reinforcement of a bronchial stump in VATS lobectomy.

Thorac Cardiovasc Surg

2nd Department of Surgery, Sapporo University School of Medicine, Japan.

Published: August 2000

Bronchial stump reinforcement is sometimes required for patients who have a high risk of developing a bronchial fistula. A lobectomy by video-assisted thoracic surgery (VATS) is widely used for the treatment of both stage I primary lung cancer and metastatic central lung cancer, but there has been no report on reinforcement of a bronchial stump in a VATS lobectomy. We report an aged patient with stage I primary lung cancer concomitant to diabetes mellitus who was successfully treated by VATS lobectomy with reinforcement of the bronchial stump using a pericardial fat pedicle flap. A Harmonic scalpel was very useful and effective in harvesting the fat pedicle.

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http://dx.doi.org/10.1055/s-2000-9944DOI Listing

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