Aspergillus causes several pulmonary complications, but bronchial stump aspergillosis (BSA) is very rare. To date, 31 cases of bronchial stump aspergillosis have been reported in the English, German, and Japanese literature. The bronchial stump was closed by hand-sewn suturing in most cases, but we report herein two cases of BSA that developed after stapled closure of the bronchial stump.
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Utility of preoperative 18F-flurodeoxyglucose PET/CT scanning in preoperative evaluation and surgical planning for pulmonary tuberculosis.
Nucl Med Commun
February 2025
Department of Thoracic Surgery, Shanghai Public Health Clinical Center, Fudan University, Shanghai, China.
Objective: The objective of this study was to investigate the utility of preoperative 18F-FDG PET/CT scanning in preoperative evaluation and surgical planning for pulmonary tuberculosis.
Methods: The study involved a retrospective analysis of clinical data and preoperative chest 18F-FDG PET/CT data of 24 patients with pulmonary tuberculosis who underwent pneumonectomy at the Shanghai Public Health Clinical Center between December 2017 and January 2022.
Results: All 24 patients successfully underwent chest 18F-FDG PET/CT imaging, and complete data pertaining to the maximum standardized uptake value, mean standardized uptake value, minimum standardized uptake value, total lesion glycolysis, and metabolic tumor volume were obtained.
[Metastatic Lung Tumor with Bronchial Cast Shadow in Which Intraoperative Bronchoscopy Was Useful During Robotic Surgery].
Kyobu Geka
December 2024
Department of Thoracic Surgery, Tokyo Women's Medical University, Tokyo, Japan.
A man in his 60s, who had undergone surgery for rectal cancer, liver metastases, and lung metastasis, had a past history of myocardial infarction and ventricular fibrillation with reduced cardiac functions. He was referred to our department because of a pulmonary nodule shadow in the S2 right upper lobe and a bronchial cast shadow along the B2 bronchus. Robot-assisted thoracoscopic right S2 segmentectomy was performed and intraoperative bronchoscopy revealed a polyp-like tumor within B2a.
View Article and Find Full Text PDFMethods of bronchial stump buttressing in post-pneumonectomy bronchopleural fistula prevention: a systematic review.
Pol Przegl Chir
July 2024
Department of Thoracic Surgery, Poznan University of Medical Sciences, Poland.
Article Synopsis
- The bronchopleural fistula (BPF) is a serious complication that can occur after pneumonectomy, often addressed through various surgical buttressing techniques to improve healing.
- A review of literature on this topic included 27 articles, but only 16 were suitable for analysis due to factors like small sample sizes and irrelevant surgical procedures.
- The results indicated that three studies found significant benefits of using bronchial stump buttressing to reduce BPF risk, while the rest provided descriptive statistics or assessed blood perfusion in the tissue used.
Bronchopleural fistula (BPF), a common complication of lobectomy, is a pathological communication between the bronchus and the pleural space. The bronchial stump fistula (BSF), which is located on the bronchial stump, is a specific type of BPF. BSF can be directly diagnosed via bronchoscopy.
View Article and Find Full Text PDFTreatment of intractable bronchopleural fistula with a one-side-closed silicone stent using retrograde approach: A case report.
Respir Med Case Rep
October 2024
Department of Thoracic Surgery, Kochi Medical University, Kochi, Japan.
A male patient (age: 85 -years) with lung cancer underwent basal segmentectomy. Subsequently, he underwent emergency open window thoracotomy for a bronchial stump fistula. The general and nutritional conditions of the patient improved; nevertheless, natural closure of the fistula did not occur.
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