Abstract：
BACKGROUND AND STUDY AIMS:Post-lobectomy bronchopleural fistula is a rare complication of lung resection surgery, and proper management is crucial for the successful resolution. Most published papers deal with surgical treatment. We report our experience with a new interventional management, endobronchial naso-bronchial lavage (ENBL). The aim of this study was to evaluate the continuing efficacy and safety of this innovative procedure. PATIENTS AND METHODS:From 2002 to 2012, 17 patients who suffered from post-lobectomy bronchopleural fistula were recruited. An ENBL tube was inserted form nostril through the trachea, bronchus and the fistula into the pleural cavity with bronchoscope. Lavage of the pleural cavity was proceeded form the ENBL tube and drained form thoracostomy drainage tube. All patients were followed up for at least 6 months. RESULT:All patients received total recovery from the post-lobectomy bronchopleural fistula. The ENBL procedure could be finished in 10-15 min. No blooding without control, pneumonia or damage of trachea associated with this procedure occurred. With an at least 6 months' follow-up of the patients, no further intervention was performed. CONCLUSIONS:It suggested that the ENBL may be an alternative interventional treatment for bronchopleural fistula treating other than surgical procedure.
journal_name
World J Surgjournal_title
World journal of surgeryauthors
Ning Y,Huang H,Xue L,Zhao Xdoi
10.1007/s00268-016-3779-4subject
Has Abstractpub_date
2017-03-01 00:00:00pages
785-789issue
3eissn
0364-2313issn
1432-2323pii
10.1007/s00268-016-3779-4journal_volume
41pub_type
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