RT Book, Section
A1 Berry, Mark F.
A1 Harpole, David H.
A2 Sugarbaker, David J.
A2 Bueno, Raphael
A2 Burt, Bryan M.
A2 Groth, Shawn S.
A2 Loor, Gabriel
A2 Wolf, Andrea S.
A2 Williams, Marcia
A2 Adams, Ann
SR Print(0)
ID 1170411209
T1 Bronchopleural Fistula After Pneumonectomy
T2 Sugarbaker’s Adult Chest Surgery, 3e
YR 2020
FD 2020
PB McGraw-Hill Education
PP New York, NY
SN 9781260026931
LK accesssurgery.mhmedical.com/content.aspx?aid=1170411209
RD 2024/04/23
AB Bronchopleural  fistula  (BPF)  occurs  in  1.5%  to  7%  of  patients  after  pneumonectomy.  BPFs  can  have  devastating  consequences,  with  mortality  of  25%  to  71%  and  prolonged  hospital  stays  involving  multiple  procedures  for  survivors.1,2  Presentation  may  be  acute  or  delayed:  The  majority  of  patients  present  within  3  months  postoperatively,  most  of  whom  do  so  within  the  first  12  days  after  surgery.2,3  Late-onset  BPF  can  be  more  difficult  to  diagnose  and  is  generally  seen  in  the  setting  of  empyema.  The  basic  principles  of  successful  BPF  management  include  protection  of  the  remaining  lung,  control  of  sepsis,  debridement  of  necrotic  tissue,  closure  of  the  fistula  reinforced  with  vascularized  tissue,  and  obliteration  of  the  pleural  space.