Omentoplasty of bronchial fistula and residual cavity in patients after pneumonectomy

Abstract

Background. Failure of the bronchus stump after pneumonectomy is one of the most severe complications after lung surgery, while the incidence of bronchopleural fistulas remains high. Materials and methods. The results of pneumonectomy in 99 patients for various lung diseases are presented. In the postoperative period, 9 patients developed bronchial stump failure, and primary failure was detected in 3 patients, secondary – in 6 patients. With the primary failure of the bronchial stump of small size, conservative therapy was carried out, and with the secondary one, a repeated operation aimed at eliminating the bronchial fistula was carried out. 3 patients underwent omentoplasty of the bronchial fistula of the right main bronchus stump, in 1 patient – using the laparoscopic approach, all had a favorable result. Results and conclusions. One of the clinical observations is presented. Omentoplasty of a bronchial fistula can be successfully used in the development of secondary incompetence of the main bronchus stump after pneumonectomy.

Keywords

• pneumectomy
• bronchial fistula
• omentoplasty