Muscle plombage for extensive bronchial necrosis after right lower lobectomy
Case Report
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Abstract
Bronchial stump necrosis is a lethal complication after pulmonary resection. We report a patient who had extensive necrosis of the intermediate bronchus after right lower lobectomy. The large bronchial defect was successfully fixed with latissimus dorsi muscle and replaced by bronchial epithelialization.
Key words
Bronchial necrosis Muscle plombage Right lower lobectomyPreview
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References
- 1.Detterbeck FC, Boffa DJ, Tanoue LT. The new lung cancer staging system. Chest 2009;136:260–71.PubMedCrossRefGoogle Scholar
- 2.Sirbu H, Busch T, Aleksic I, Schreiner W, Oster O, Dalichau H. Bronchopleural fistula in the surgery of non-small cell lung cancer: incidence, risk factors and management. Ann Thorac Surg 2001;7:330–6.Google Scholar
- 3.Asamura H, Kondo H, Tuchiya R. Management of the bronchial stump in pulmonary resections: a review of 533 consecutive recent bronchial closures. Eur J Cardiothorac Surg 2000;17:106–10.PubMedCrossRefGoogle Scholar
- 4.Satoh Y, Okumura S, Nakagawa K, Horiike A, Ohyanagi F, Nishio M, et al. Postoperative ischemic change in bronchial stumps after primary lung cancer resection. Eur J Cardiothorac Surg 2006;30:172–6.PubMedCrossRefGoogle Scholar
- 5.Lois M, Noppen M. Bronchopleural fistulas an overview of the problem with special focus on endoscopic management. Chest 2005;128:3955–65.PubMedCrossRefGoogle Scholar
- 6.Ris HB, Krueger T, Cheng C, Pasche P, Monnier P, Magnusson L. Tracheo-carinal reconstructions using extrathoracic muscle flaps. Eur J Cardiothorac Surg 2008;33:276–83.PubMedCrossRefGoogle Scholar
- 7.Abolhoda A, Bui TD, Milliken JC, Wirth GA. Pedicled latissimus dorsi muscle flap: routine use in high-risk thoracic surgery. Tex Heart Inst J 2009;36:298–302.PubMedGoogle Scholar
- 8.Meyer AJ, Krueger T, Lepori D, Dusmet M, Aubert JD, Pasche P, et al. Closure of large intrathoracic airway defects using extrathoracic muscle flaps. Ann Thorac Surg 2004;77:397–405.PubMedCrossRefGoogle Scholar
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© The Japanese Association for Thoracic Surgery 2012