Successful Bronchoscopic Treatment for Postoperative Bronchopleural Fistula Using N-butyl-2-cyanoacrylate (NBCA): Report of a Post-completion Pneumonectomy Case with a History of Induction Chemoradiotherapy Followed by Bilobectomy for Advanced Lung Cancer

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Abstract

Bronchopleural fistula (BPF) is a severe complication following lung resection. We present the case of a patient with a history of advanced lung cancer, who had undergone induction chemoradiotherapy followed by right middle and lower lobectomy, and who developed BPF after completion right pneumonectomy. Although we had covered the bronchial stump with an omental pedicled flap, BPF was found on postoperative day 19. We covered the fistula with n-butyl-2-cyanoacrylate (NBCA) using bronchoscopy. Although we had to repeat the NBCA treatment, we ultimately cured the patient's BPF and no recurrence was observed up to 15.2 months after surgery.

Original languageEnglish
Pages (from-to)91-94
Number of pages4
JournalActa medica Okayama
Volume75
Issue number1
Publication statusPublished - 2021

Keywords

  • bronchopleural fistula
  • induction chemoradiotherapy
  • n-butyl-2-cyanoacrylate (NBCA)
  • omental pedicled flap
  • pneumonectomy

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

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