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Chirurgische Versorgung tracheo-/bronchopleuraler Fisteln nach bronchoplastischer Resektion (Manschetten‑/Bifurkationsresektion)

Surgical treatment of tracheopleural and bronchopleural fistulas after bronchoplastic resection (sleeve or bifurcation resection)

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Zusammenfassung

Die Versorgung tracheo- und bronchopleuraler Fisteln an einer Anastomose nach Manschettenresektionen ist komplex und komplikationsträchtig. Die Vermeidung dieser Komplikation ist daher oberstes Ziel. Die klinischen Zeichen und die frühzeitige Diagnosestellung einer potenziell kritischen Anastomose/Anastomoseninsuffizienz sowie deren Behandlung bis hin zur sekundären Pneumonektomie werden dargestellt.

Abstract

The treatment of tracheopleural and bronchopleural fistulas at an anastomosis after sleeve resection is complex and fraught with complications. Morbidity and mortality are very high. Therefore, great care must be taken to avoid such complications. The clinical signs and the early diagnosis of a potentially critical anastomosis or anastomotic leakage as well as the treatment, including secondary pneumonectomy are presented.

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Authors and Affiliations

  1. Klinik für Thoraxchirurgie, Florence Nightingale Krankenhaus, Akademisches Lehrkrankenhaus der Heinrich-Heine-Universität Düsseldorf, Kreuzbergstr. 79, 40489, Düsseldorf, Deutschland

    C. Ludwig

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Correspondence to C. Ludwig.

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C. Ludwig gibt an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden vom Autor keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Ludwig, C. Chirurgische Versorgung tracheo-/bronchopleuraler Fisteln nach bronchoplastischer Resektion (Manschetten‑/Bifurkationsresektion). Chirurg 90, 704–709 (2019). https://doi.org/10.1007/s00104-019-0987-0

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  • DOI: https://doi.org/10.1007/s00104-019-0987-0

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