Is the flap reinforcement of the bronchial stump really necessary to prevent bronchial fistula?
| العنوان: | Is the flap reinforcement of the bronchial stump really necessary to prevent bronchial fistula? |
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| المؤلفون: | Hasan Hafizi, Daniela Xhemalaj, Arian Mezini, Silva Bala, Ilir Skenduli, A. Hatibi, Gentiana Qirjako, Fatmir Caushi |
| المصدر: | Journal of Cardiothoracic Surgery, Vol 15, Iss 1, Pp 1-7 (2020) Journal of Cardiothoracic Surgery |
| بيانات النشر: | BMC, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Pulmonary and Respiratory Medicine, Male, Flap reinforcement, medicine.medical_specialty, Lung Neoplasms, medicine.medical_treatment, Bronchopleural fistula, lcsh:Surgery, Bronchi, 030204 cardiovascular system & hematology, Surgical Flaps, Lung resection, lcsh:RD78.3-87.3, 03 medical and health sciences, Pneumonectomy, 0302 clinical medicine, Bronchial fistula, medicine, Humans, Lung cancer, Retrospective Studies, business.industry, Retrospective cohort study, General Medicine, lcsh:RD1-811, Middle Aged, medicine.disease, Bronchial Fistula, Cardiac surgery, Surgery, Bronchial stump, 030228 respiratory system, Cardiothoracic surgery, lcsh:Anesthesiology, Female, Cardiology and Cardiovascular Medicine, business, Complication, Research Article |
| الوصف: | Background/aim The development of bronchopleural fistula (BPF) remains the most severe complication of lung resection, especially after pneumonectomy. Studies provide controversial reports regarding the benefits of flap reinforcement of the bronchial stump (FRBS) in preventing BPF’s occurrence. Methods This is a retrospective cohort study of 558 patients that underwent lung resection in a 12-year period (from 2007 to 2018). Ninety patients (16.1%) underwent pneumonectomy. Patient follow-up period varied from 1 to 12 years. Results Out of 558 patients in this study, 468 (83.9%) underwent lobectomy, and the remnant underwent pneumonectomy. In 114 cases with lobectomy, only 24.4% had FRBS, meanwhile in 56 cases with pneumonectomy only 62.2% had FRBS. BPF occurred in 8 patients with lobectomy (1.7%) and in 10 patients with pneumonectomy (11.1%). Among cases with post-pneumonectomy BPF, 6 (10.7%) had FRBS performed, while no FRBS was performed among patients with post-lobectomy BPF, although these data weren’t statistically (p > 0.05). In 24 patients (20 lobectomies and 4 pneumonectomies) with lung cancer (10.4%) neoadjuvant treatment was performed, in which 20 patients underwent chemotherapy and 4 underwent radiotherapy. FRBS was applied in each of the above 24 operative cases, but only in 4 of them the BPF was verified. Conclusion The idea of enhancing the blood supply through the FRBS for BPF prevention has gain traction. Although FRBS has been identified as valuable and effective method in BPF prevention following lung resection, our study results did not support this evidence. |
| اللغة: | English |
| تدمد: | 1749-8090 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::567cd0841d2b571e2a2772a8fee1b5e0 http://link.springer.com/article/10.1186/s13019-020-01290-0 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....567cd0841d2b571e2a2772a8fee1b5e0 |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 17498090 |
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