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The Annals of Thoracic Surgery, Vol 52, 1253-1257, Copyright © 1991 by The Society of Thoracic Surgeons


ARTICLES

Bronchopleural fistula after stapled closure of bronchus

SR Vester, LP Faber, CF Kittle, WH Warren and RJ Jensik
Rush-Presbyterian-St. Luke's Medical Center, Chicago, Illinois.

The incidence of bronchopleural fistula after stapling among 2,243 pulmonary resections at the Rush-Presbyterian-St. Luke's Medical Center has been reviewed. There were 35 fistulas in 1,773 stapled and in 470 sutured bronchi (segmentectomy, 2; lobectomy, 1; bilobectomy, 9; and pneumonectomy, 23). We have found that the stapler is expedient and simple to use, and that it produces a hermetic and uniform closure. The stapler is contraindicated when the bronchus is thickened, inflamed, or of insufficient length. The overall incidence of bronchopleural fistula was 1.6%. Approximately two thirds of the patients with bronchopleural fistula had preoperative radiation therapy or chemotherapy or both.


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