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Iconography, Physiopathology and Spontaneous Healing of a Broncho – Pleural Fistula Following a Right Pneumonectomy for NSCLC

Received: 2 May 2022     Accepted: 23 May 2022     Published: 9 June 2022
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Abstract

Bronchogenic fistula with or without empyema is considered among the most life - threatening complications in lung resections. Many proceedings to treat this kind of fistula have been described in Literature, most of them are very aggressive indeed (re - do thoracotomy, re - do bronchial anastomosis, open window thoracostomy). This is a report about a patient who developped broncho – pleural fistula after nearly sixt months from right pneumonectomy fot NSCLC. Unexpectedly in this case healing was spontaneous and requested only a chest drainage and antibiotics. Probably in this patient the fistula at the right main bronchial stump occurred on the basis of a somewhat disorder of the riparative and inflammation pathway. Propensity to infective disease (previous TB end Staphylococcus infection) could confirm this explanation.

Published in Journal of Surgery (Volume 10, Issue 3)
DOI 10.11648/j.js.20221003.16
Page(s) 121-124
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Broncho - Pleural Fistula, Immunological Disoders, Spontaneous Healing

References
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[2] Massard G, Lyons G, Wihlm JM, Fernoux P, Dumont P, Kessler R et al. Early and long – term results after completion pneumonectomy. Ann Thorac Surg. 1995; 59: 196-200.
[3] Higgins GA, Beebe GW. Bronchogenic carcinoma. Factors in survival. Arch Surg. 1967; 94: 539-49.
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[5] R J Cerfolio. The incidence, etiology, and prevention of postresectional bronchopleural fistula. Semin Thorac Cardiovasc Surg 2001 Jan; 13 (1): 3-7.
[6] Claudio Andreetti, Cecilia Menna, Antonio D'Andrilli, Moshen Ibrahim, Giulio Maurizi, camilla Poggi, Erino Angelo Rendina, Federico Venuta, Mario Santini, Alfonso Fiorelli. Multimodal Treatment for Post-Pneumonectomy Bronchopleural Fistula Associated With Emyema. Ann Thorac Surg 2018 Dec; 106 (6): -e337-e339.
[7] P H Hollaus, M Huber, F Lax, P N Wurning, G Bohm, N S Pridun. Closure of bronchopleural fistula after pneumonectomy with a pedicled intercostal muscle flap. Eur J Cardiothorac Surg 1999 Aug; 16 (2): 181-6.
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[12] Domenico Galetta, Lorenzo Spaggiari. Video – Thoarcoscopic Management of Postpneumonectomy Empyema. Thorac Cardiovasc Surg 2018; 66 (08): 701-706.
[13] De la Riviere AB, Defauw JJ, Knaepen PJ, van Swieten HA, Vanderschueren RC, van den Bosch JM. Transsternal closure of bronchopleural fistula after pneumonectomy. Ann Thorac Surg 1997; 64: 954-7.
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[15] Da-Li Wang, Gui-Yu Cheng, Ke-Li Sun, Ping -Jin Meng, De-Kang Fang, Jie He. Treatement and prevention of bronchus-pleural fistula after pneumonectomy for lung cancer. Zhonghua Wai Ke Za Zhi. 2008 Feb 1; 46 (3): 193-5.
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Cite This Article
  • APA Style

    Flavio Colaut, Aurelio Piazza, Tommaso Stecca, Micaela Romagnoli, Catino Cosimo, et al. (2022). Iconography, Physiopathology and Spontaneous Healing of a Broncho – Pleural Fistula Following a Right Pneumonectomy for NSCLC. Journal of Surgery, 10(3), 121-124. https://doi.org/10.11648/j.js.20221003.16

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    ACS Style

    Flavio Colaut; Aurelio Piazza; Tommaso Stecca; Micaela Romagnoli; Catino Cosimo, et al. Iconography, Physiopathology and Spontaneous Healing of a Broncho – Pleural Fistula Following a Right Pneumonectomy for NSCLC. J. Surg. 2022, 10(3), 121-124. doi: 10.11648/j.js.20221003.16

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    AMA Style

    Flavio Colaut, Aurelio Piazza, Tommaso Stecca, Micaela Romagnoli, Catino Cosimo, et al. Iconography, Physiopathology and Spontaneous Healing of a Broncho – Pleural Fistula Following a Right Pneumonectomy for NSCLC. J Surg. 2022;10(3):121-124. doi: 10.11648/j.js.20221003.16

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  • @article{10.11648/j.js.20221003.16,
      author = {Flavio Colaut and Aurelio Piazza and Tommaso Stecca and Micaela Romagnoli and Catino Cosimo and Giovanni Morana and Marco Massani},
      title = {Iconography, Physiopathology and Spontaneous Healing of a Broncho – Pleural Fistula Following a Right Pneumonectomy for NSCLC},
      journal = {Journal of Surgery},
      volume = {10},
      number = {3},
      pages = {121-124},
      doi = {10.11648/j.js.20221003.16},
      url = {https://doi.org/10.11648/j.js.20221003.16},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20221003.16},
      abstract = {Bronchogenic fistula with or without empyema is considered among the most life - threatening complications in lung resections. Many proceedings to treat this kind of fistula have been described in Literature, most of them are very aggressive indeed (re - do thoracotomy, re - do bronchial anastomosis, open window thoracostomy). This is a report about a patient who developped broncho – pleural fistula after nearly sixt months from right pneumonectomy fot NSCLC. Unexpectedly in this case healing was spontaneous and requested only a chest drainage and antibiotics. Probably in this patient the fistula at the right main bronchial stump occurred on the basis of a somewhat disorder of the riparative and inflammation pathway. Propensity to infective disease (previous TB end Staphylococcus infection) could confirm this explanation.},
     year = {2022}
    }
    

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    T1  - Iconography, Physiopathology and Spontaneous Healing of a Broncho – Pleural Fistula Following a Right Pneumonectomy for NSCLC
    AU  - Flavio Colaut
    AU  - Aurelio Piazza
    AU  - Tommaso Stecca
    AU  - Micaela Romagnoli
    AU  - Catino Cosimo
    AU  - Giovanni Morana
    AU  - Marco Massani
    Y1  - 2022/06/09
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    N1  - https://doi.org/10.11648/j.js.20221003.16
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    JF  - Journal of Surgery
    JO  - Journal of Surgery
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    AB  - Bronchogenic fistula with or without empyema is considered among the most life - threatening complications in lung resections. Many proceedings to treat this kind of fistula have been described in Literature, most of them are very aggressive indeed (re - do thoracotomy, re - do bronchial anastomosis, open window thoracostomy). This is a report about a patient who developped broncho – pleural fistula after nearly sixt months from right pneumonectomy fot NSCLC. Unexpectedly in this case healing was spontaneous and requested only a chest drainage and antibiotics. Probably in this patient the fistula at the right main bronchial stump occurred on the basis of a somewhat disorder of the riparative and inflammation pathway. Propensity to infective disease (previous TB end Staphylococcus infection) could confirm this explanation.
    VL  - 10
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Author Information
  • General Surgery and Toracic, “Cà Foncello” Regional Hospital, Treviso, Italy

  • General Surgery and Toracic, “Cà Foncello” Regional Hospital, Treviso, Italy

  • General Surgery and Toracic, “Cà Foncello” Regional Hospital, Treviso, Italy

  • Pulmonology and Thoracic Endoscopy, “Cà Foncello” Regional Hospital, Treviso, Italy

  • Pulmonology and Thoracic Endoscopy, “Cà Foncello” Regional Hospital, Treviso, Italy

  • Radiology, “Cà Foncello” Regional Hospital, Treviso, Italy

  • General Surgery and Toracic, “Cà Foncello” Regional Hospital, Treviso, Italy

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