Document Detail


Bronchopleural fistula after stapled closure of bronchus.
MedLine Citation:
PMID:  1755678     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The incidence of bronchopleural fistula after stapling among 2,243 pulmonary resections at the Rush-Presbyterian-St. Luke's Medical Center has been reviewed. There were 35 fistulas in 1,773 stapled and in 470 sutured bronchi (segmentectomy, 2; lobectomy, 1; bilobectomy, 9; and pneumonectomy, 23). We have found that the stapler is expedient and simple to use, and that it produces a hermetic and uniform closure. The stapler is contraindicated when the bronchus is thickened, inflamed, or of insufficient length. The overall incidence of bronchopleural fistula was 1.6%. Approximately two thirds of the patients with bronchopleural fistula had preoperative radiation therapy or chemotherapy or both.
Authors:
S R Vester; L P Faber; C F Kittle; W H Warren; R J Jensik
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  52     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1991 Dec 
Date Detail:
Created Date:  1992-01-27     Completed Date:  1992-01-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1253-7; discussion 1257-8     Citation Subset:  AIM; IM    
Affiliation:
Rush-Presbyterian-St. Luke's Medical Center, Chicago, Illinois.
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MeSH Terms
Descriptor/Qualifier:
Bronchial Fistula / complications,  etiology*
Fistula / complications,  etiology*
Humans
Lung Neoplasms / surgery*
Pleural Diseases / complications,  etiology*
Postoperative Complications*
Surgical Staplers*
Suture Techniques
Comments/Corrections
Comment In:
Ann Thorac Surg. 1992 Nov;54(5):1021-2   [PMID:  1417266 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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