A sudden drop of air-fluid level in the pneumonectomy space absence a bronchopleural fistula and pleural infection is termed benign emptying post (BEPS). We herein report case space, briefly review literature enumerate possible mechanisms for same. It an extremely rare entity follows course. Patients with BEPS are clinically stable, afebrile no fluid expectoration, have normal white blood cell ...

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...

OBJECTIVE Although the incidence of bronchopleural fistula (BPF) has decreased in the past decades, it remains a serious complication following pulmonary resection. The management of left-sided bronchial stump fistulas is difficult and depends on the choice of the approach. In contrast to several surgical procedures published in the past, herein we report our experience managing five left-main-...

We report on two successful cases of managing lung resections that had been complicated by bronchial stump fistulae. In the first case, an endobronchial blocker tube was used to intubate the patient, in order to control inflammation in the event of aspiration pneumonia. This treatment improved the general condition, so we were able to perform a second operation to close the fistula safely. This...

OBJECTIVE For patients with postoperative pleural empyema, open window thoracostomy (OWT) is often necessary to prevent sepsis. Vacuum-assisted closure (VAC) is a well-known therapeutic option in wound treatment. The efficacy and safety of intrathoracal VAC therapy, especially in patients with pleural empyema with bronchial stump insufficiency or remain lung, has not yet been investigated. ME...

RATIONALE Numerous types of flap coverage have been reported to prevent or to repair bronchopleural fistulas. Most of the flaps were harvested from chest area. However, these pedicled flaps might not be optimal for the patient who has undergone previous radiotherapy on pulmonary parenchyma because the pedicle artery of the flap might have been injured by irradiation. Therefore, an alternative f...

OBJECTIVE In a previous experimental study on 60 freshly slaughtered pig trachea, a statistically significant better resistance to pressure was found after mechanical stapling compared to hand suture. The objective of this study was to determine the resistance to pressure of a bronchial stump depending upon the closure technique (manual vs. mechanical) used in sheep 14 days after pneumonectomy....

A broncho-pulmonary artery fistula is one of the most fatal complications of lung cancer surgery. This article discusses the case of a patient who died of massive hemoptysis after a left upper lobectomy. There were no previous signs of broncho-pleural fistula except for an obstinate dry cough and slightly elevated serum C-reactive protein levels after surgery. An autopsy revealed that a fistula...