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Gen Thorac Cardiovasc Surg ; 69(5): 890-893, 2021 May.
Artículo en Inglés | MEDLINE | ID: mdl-33400203

RESUMEN

We present a case of the broncho-pleural fistula with a collapsed lung that was developed 2 weeks after right lower lobectomy. The patient urgently underwent open-window thoracostomy. However, the residual lung remained collapsed. To expand the lung and close the broncho-pleural fistula, negative pressure wound therapy was initiated 20 days after the procedure. The lung expanded within a few days, and the residual thoracic cavity gradually contracted. Subsequently, 2.5 months later, the remaining thoracic cavity was successfully closed using omentoplasty. No recurrence of the broncho-pleural fistula was observed for 1 year. If the lung could be inflated to reduce dead space in the thoracic cavity, broncho-pleural fistula with collapsed lung may be treated with bronchial stump coverage and negative pressure wound therapy.


Asunto(s)
Fístula Bronquial , Empiema Pleural , Terapia de Presión Negativa para Heridas , Enfermedades Pleurales , Fístula Bronquial/diagnóstico por imagen , Fístula Bronquial/etiología , Fístula Bronquial/cirugía , Empiema Pleural/cirugía , Humanos , Pulmón , Enfermedades Pleurales/diagnóstico , Enfermedades Pleurales/etiología , Enfermedades Pleurales/cirugía , Neumonectomía
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