Video-assisted contralateral treatment for bronchial stump diastasis after left pneumonectomy

Yoshio Tsunezuka, Hideo Sato, Takamitsu Kodama

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

Postoperative bronchial stump failure is a life-threatening complication, and several surgical approaches and procedures have been developed to dose the stump. In this report, we describe a ease of left mainstem bronchial stump diastasis after pneumonectomy for lung cancer, in which the bronchial stump was re-closed using a contralateral approach with video-assisted thoracic surgery, with good success. The left main bronchus was closed with an automatic stapler device, but the stump reopened and left pyothorax developed postoperatively. Emergent intratracheal intubation and ventilation was required due to rapid progression of right pyothorax. Under strict nutritional management by IV hyperalimentation, administration of antibiotics to which the organisms were sensitive, and drainage, the patient recovered from pneumonia. However, thoracic air leak increased daily, and reoperation for bronchial diastasis was performed. Using this approach, the left main bronchus near the carina was easily exposed extrapleurally, with only the azygos vein being incised. Video-assisted contralateral treatment was effective in avoiding sternal osteomyelitis due to a transpericardial approach via median sternotomy in the ease of mainstem bronchial stump failure, only after left pneumonectomy.

Original languageEnglish (US)
Pages (from-to)884-886
Number of pages3
JournalCHEST
Volume117
Issue number3
DOIs
StatePublished - Jan 1 2000

Keywords

  • Bronchial stump diastasis
  • Contralateral treatment
  • Lung cancer
  • Video- assisted thoracic surgery

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

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