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KMID : 0364019940270080677
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Korean Journal of Thoracic and Cardiovascular Surgery
1994 Volume.27 No. 8 p.677 ~ p.682
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Treatment of Postpneumonectomy Bronchopleural Fistula
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Abstract
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A bronchopleural fistula(BPF) is a major therapeutic challange to the thoracic surgeons due to difficulties in its management. We have experienced 9 cases of postpneumonectomy BPF, and all of them occured after the right side pneumonectomy. Seven
patients underwent pneumonectomy due to lung cancer, and one patient each received of treatment was Eloesser operation which was done in 7 patients, and one had open thoracostomy and one had betadine irrigation until he died suddenly due to
pulmonary
vein rupture. The result of treatment was poor with five mortalities including one operative death. Two patients are in good condition in 28 months and 4 years of follow-up, but two are lost in follow-up. Tissue sealant such as Tisseel was used
in
three
patients but seems to have no effect at all in the treatment of postoperative BPF. (Korean J Thoracic Cardiovas Surg 1994; 27:677-682)
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