Abstract
We experienced 4 cases of postoperative perforation in the bronchus intermedius membrane (PBIM) after primary lung cancer resection. Three patients had undergone a right lower lobectomy and 1 patient had undergone a right upper lobectomy; as part of a systemic lymph node dissection, the subcarinal lymph node (Station 7) was dissected in all cases. Leakages were detected on postoperative days 3, 10, 11, and 26, respectively. The clinical signs of PBIM included the appearance of sputum like pleural effusion, decreased oxygenation, elevated inflammatory markers, pneumothorax, and infected pleural effusion. PBIM was confirmed by bronchofiberscopy. Direct suturing of the perforated membrane, followed by rapping with an omental flap was performed in 1 case; completion bilobectomies, followed by rapping of the bronchial stump with an omental flap or an intercostal muscle flap were performed in 2 cases; and a completion pneumonectomy, followed by rapping of the bronchial stump with an omental flap was performed in 1 case. All 4 of the cases were successfully treated.
| Original language | English |
|---|---|
| Pages (from-to) | 130-132 |
| Number of pages | 3 |
| Journal | European Journal of Cardio-thoracic Surgery |
| Volume | 33 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - Jan 2008 |
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Keywords
- Bronchopleural fistula
- Bronchus intermedius
- Complication
- Lung cancer
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
- Surgery
Cite this
Postoperative perforation in the bronchus intermedius membrane after a primary lung cancer resection. / Hirami, Yuji; Toyooka, Shinichi; Sano, Yoshifumi; Date, Hiroshi.
In: European Journal of Cardio-thoracic Surgery, Vol. 33, No. 1, 01.2008, p. 130-132.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Postoperative perforation in the bronchus intermedius membrane after a primary lung cancer resection
AU - Hirami, Yuji
AU - Toyooka, Shinichi
AU - Sano, Yoshifumi
AU - Date, Hiroshi
PY - 2008/1
Y1 - 2008/1
N2 - We experienced 4 cases of postoperative perforation in the bronchus intermedius membrane (PBIM) after primary lung cancer resection. Three patients had undergone a right lower lobectomy and 1 patient had undergone a right upper lobectomy; as part of a systemic lymph node dissection, the subcarinal lymph node (Station 7) was dissected in all cases. Leakages were detected on postoperative days 3, 10, 11, and 26, respectively. The clinical signs of PBIM included the appearance of sputum like pleural effusion, decreased oxygenation, elevated inflammatory markers, pneumothorax, and infected pleural effusion. PBIM was confirmed by bronchofiberscopy. Direct suturing of the perforated membrane, followed by rapping with an omental flap was performed in 1 case; completion bilobectomies, followed by rapping of the bronchial stump with an omental flap or an intercostal muscle flap were performed in 2 cases; and a completion pneumonectomy, followed by rapping of the bronchial stump with an omental flap was performed in 1 case. All 4 of the cases were successfully treated.
AB - We experienced 4 cases of postoperative perforation in the bronchus intermedius membrane (PBIM) after primary lung cancer resection. Three patients had undergone a right lower lobectomy and 1 patient had undergone a right upper lobectomy; as part of a systemic lymph node dissection, the subcarinal lymph node (Station 7) was dissected in all cases. Leakages were detected on postoperative days 3, 10, 11, and 26, respectively. The clinical signs of PBIM included the appearance of sputum like pleural effusion, decreased oxygenation, elevated inflammatory markers, pneumothorax, and infected pleural effusion. PBIM was confirmed by bronchofiberscopy. Direct suturing of the perforated membrane, followed by rapping with an omental flap was performed in 1 case; completion bilobectomies, followed by rapping of the bronchial stump with an omental flap or an intercostal muscle flap were performed in 2 cases; and a completion pneumonectomy, followed by rapping of the bronchial stump with an omental flap was performed in 1 case. All 4 of the cases were successfully treated.
KW - Bronchopleural fistula
KW - Bronchus intermedius
KW - Complication
KW - Lung cancer
UR - http://www.scopus.com/inward/record.url?scp=37249077855&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=37249077855&partnerID=8YFLogxK
U2 - 10.1016/j.ejcts.2007.09.038
DO - 10.1016/j.ejcts.2007.09.038
M3 - Article
VL - 33
SP - 130
EP - 132
JO - European Journal of Cardio-thoracic Surgery
JF - European Journal of Cardio-thoracic Surgery
SN - 1010-7940
IS - 1
ER -