Objective: There are many risk factors for postoperative bronchopleural fistula (BPF), including extensive resection, diabetes, chronic infection, perioperative steroid therapy, preoperative chemotherapy, and radiotherapy, the risk of bronchopleural fistula increases with resection for inflammatory diseases, especially Mycobacterium tuberculosis (MTB). The aim of this study is to evaluate the e...

Between 1972 and 1993, 19 patients (15 males and 4 females) with bronchopleural fistulae and pleural empyema after pneumonectomy were treated with transsternal transpericardial operations and closure of the fistula. The underlying malignant disease was a non-small cell carcinoma in 12, a malignant epithelial mesothelioma in two, and an atypical carcinoid tumor in one case. One patient each pres...

The complication of oesophagopleural fistula is described in eight of 1,389 patients (0 5%) who underwent pneumonectomy for carcinoma of the bronchus. All the patients had a right pneumonectomy performed and seven of the eight patients developed a bronchopleural fistula before developing an oesophageal fistula. The complication appeared between two weeks and 22 months after pneumonectomy. All t...

BACKGROUND Bronchopleural fistula following lung resection is a therapeutic challenge for thoracic surgeons. CASE PRESENTATION We describe a case of late bronchopleural fistula after right extrapleural pneumonectomy for malignant mesothelioma. Bronchoscopic attempts to repair it were unsuccessful. CONCLUSION The use of a modified Y Dumon stent associated with glue apposition on the bronchia...

Bronchopleural fistula (BPF) is a potentially fatal complication of lung cancer resection surgery that occurs during the healing process of the bronchial stump. However, the vulnerability of the healed surgical wound to overlapping acquired airway destruction has not yet been determined in detail. We herein present a case of fatal BPF following Mycobacterium abscessus (M. abscessus) infection, ...

AIM To analyze the medical and socioeconomic impact of the complications of anatomic lung resections performed at the Thoracic Surgery Unit of the Iasi Regional Cancer Institute. METHODS This retrospective study included patients who underwent anatomic lung resections between January 2013 and August 2015. RESULTS Over this interval a total of 172 major lung resections were performed: 31 (18...

We read with interest the paper by Bai et al. [1] regarding the efficacy of surgery, mainly pneumonectomies, in the treatment of tuberculosis (TB)-destroyed lungs and we congratulate them on their results. One of the most dreaded complications after pneumonectomy is the bronchopleural fistula (BPF), and this is particularly true for pneumonectomies performed for infectious diseases including TB...

Post-pneumonectomy bronchopleural fistula (BPF) is a problem that is difficult to manage and requires thoracotomy as a palliative measure, with daily treatment and recurring infections of the pleural cavity. The existence of fistulas in the main bronchus means that it is impossible to close the thoracotomy cavity as it is chronically infected. Several techniques have been reported for closing f...

We read with great interest the article by Toufektzian et al. regarding the relationship between postoperative mechanical ventilation and bronchopleural fistula (BPF) formation after pneumonectomy [1]. We congratulate the authors for their work and agree that every effort should be made to achieve the earliest possible extubation of the patient and that bronchial stump reinforcement is advisabl...