AI Article Synopsis
- Postoperative bronchopleural fistula is a significant complication in thoracic surgery, and this report discusses a successful closure of such a fistula using omentopexy on a 51-year-old man who had lung surgery.
- After a failed initial closure attempt following pneumonia, the patient underwent multiple procedures including pneumonectomy and muscle flap techniques before omentopexy was attempted.
- Ultimately, omentopexy proved effective in sealing the bronchopleural fistula without causing deformation of the chest wall, suggesting it as a viable option for similar cases.
Article Abstract
Postoperative bronchopleural fistula has been the most troublesome complications in the thoracic surgery. In this report, we presented a case of bronchopleural fistula successfully closed by omentopexy. A 51-year-old man had undergone left upper lobectomy and S6 segmentectomy for primary lung cancer. Bronchopleural fistula due to postoperative pneumonia was developed and completion pneumonectomy with the intercostal-musclo-pexy was performed. Post-re-operative course was unsuccessful, bronchopleural fistula remained, so we tried re-closure of the bronchial stump by omentopexy without thoracoplasty or muscle flap plombage. About a half year after 3rd operation, he relapsed into bronchopleural fistula. Then fibrin gluing was performed via a flexible fiberoptic bronchoscope without hospitalization, and the omental flap was fixed completely to the bronchial stump. We believe the omentopexy a useful procedure for treating postoperative bronchopleural fistula which can't make any chest-wall deformation.
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