Advertisement

Bronchopleural Fistula

  • Xinwei Han
  • Quanhui Zhang
  • Gang Wu
Chapter

Abstract

Lung cancer is one of the most serious types of malignant tumor, threatening human health. In recent years, the incidence of lung cancer has increased significantly in China, and lung cancer is responsible for most malignant tumors in some developed areas. Tuberculosis is a chronic disease. China is one of 22 countries with the highest incidence of tuberculosis. Lobectomy or total pneumonectomy is currently the main treatment for lung cancer, cavitary pulmonary tuberculosis, localized bronchiectasis, and destruction of the lung [1, 2]. Bronchopleural fistula (BPF) is one of the serious complications that can occur after a pneumonectomy. It can endanger the patient’s life if not treated properly. The incidence of BPF after pneumonectomy is 0.8–12.5% in the rest of the world, but in China the incidence of BPF after pneumonectomy is low, only 0.7–1.7%. The mortality rate for patients with BPF after traditional treatment for BPF is high, ranging from 12–71.2% [3, 4].

References

  1. 1.
    Oshiro Y, Sakrai H. The use proton-beam therapy in the treatment of non-small-cell lung cancer. Expert Rev Med Devices. 2013;10(2):239–45.CrossRefGoogle Scholar
  2. 2.
    Hama M, Allen MS, Cassivi SD, et al. Surgical treatment of metachronous second primary lung cancer after complete resection of non-small cell lung cancer. Thorac Cardiovasc Surg. 2013;145(3):683–91.CrossRefGoogle Scholar
  3. 3.
    Purek L, Licker M, Frey JG, et al. Bronchopleural fistula: a serious complication after thoracic surgery. Rev Med Suisse. 2009;5(203):1056–8. 1060PubMedGoogle Scholar
  4. 4.
    Birdas TJ, Morad MH, Okekere IC, et al. Risk factor for bronchopleural fistula. Ann Surg Oncol. 2012;19(4):1336–42.CrossRefGoogle Scholar
  5. 5.
    Alphonso N, Tan C, Utley M, et al. A prospective randomized controlled trial of suction versus non-suction to the under-water seal drains following lung resection. Eur J Cardiothorac Surg. 2005;27:391–4.CrossRefGoogle Scholar
  6. 6.
    Uramoto H, Hanagiri T. The development of bronchopleural fistula in lung cancer patients after majorsurgery: 31 years of experience with 19 cases. Anticancer Res. 2011;31:619–24.PubMedGoogle Scholar
  7. 7.
    Zongming L, Gang W, Xinwei H, et al. Treatment of residual fistula of the right main bronchus with airway type single bullet film covered stent (an analysis of 17 cases). Interventional Radiol. 2013;22(1):46–9.Google Scholar
  8. 8.
    Beltrami V, Angelici A, Bertagni A, et al. Transsternal approach to closure of bronchopleural fistulas after pneumonectomy. A fifteen cases report. Lung Cancer. 2000;29:43–7.CrossRefGoogle Scholar
  9. 9.
    Topcuoglu MS, Kayhan C, Ulus T. Transsternal transpericardial approach for the repair of bronchopleural fistula with empyema. Ann Thorac Surg. 2000;69:394–7.CrossRefGoogle Scholar
  10. 10.
    Xin-wei HAN, Gang WU, Nan MA, et al. The imaging diagnosis and interventional treatment for radioactive thoracostomach-airway fistula. J Med Imag. 2003;13(7):471–4.Google Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Xinwei Han
    • 1
  • Quanhui Zhang
    • 1
  • Gang Wu
    • 1
  1. 1.Department of Interventional RadiologyThe First Affiliated Hospital of Zhengzhou UniversityZhengzhouChina

Personalised recommendations