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Ann Thorac Surg 2004;78:1107-1108
© 2004 The Society of Thoracic Surgeons

How to do it

A simple solution for management of the postpneumonectomy empyema cavity

Michael S. Kent, MDa, Robert J. Korst, MDa,*, Lloyd B. Gayle, MDb, Jeffrey L. Port, MDa, Nasser K. Altorki, MDa

a Department of Cardiothoracic Surgery, Weill Medical College of Cornell University, New York, New York, USA
b Department of Surgery, Division of Plastic Surgery, Weill Medical College of Cornell University, New York, New York, USA

Accepted for publication August 13, 2003.

* Address reprint requests to Dr Korst, Department of Cardiothoracic Surgery, Ste M404, Weill Medical College of Cornell University, 525 E 68th St, New York, NY 10021, USA
rjk2002{at}med.cornell.edu

Postpneumonectomy bronchopleural fistula with empyema is a difficult problem. Once the fistula is healed, successful closure of the pleural space is associated with varying degrees of success, as well as the potential for major reconstructive surgery. My colleagues and I describe a simple approach for the definitive management of the open pleural space involving split-thickness skin grafts to marsupialize the pleural cavity.






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