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Right arrow Trachea and bronchi

Ann Thorac Surg 2004;78:2165-2166
© 2004 The Society of Thoracic Surgeons

Case report

Video-Assisted Bronchial Stump Reinforcement With an Intercostal Muscle Flap

Motoyasu Sagawa, MDa,*, Makoto Sugita, MDa, Yuji Takeda, MDb, Hirohisa Toga, MDb, Tsutomu Sakuma, MDa

a Department of Thoracic Surgery, Ishikawa, Japan
b Department of Respiratory Medicine, Kanazawa Medical University, Ishikawa, Japan

Accepted for publication July 21, 2003.

* Address reprint requests to Dr Sagawa, Department of Thoracic Surgery, Kanazawa Medical University, 1-1 Daigaku, Uchinada, Ishikawa 920-0293, Japan
sagawam{at}kanazawa-med.ac.jp

For lobectomy patients at considerable risk of developing a postoperative bronchopleural fistula, the bronchial stump reinforcement with an intercostal muscle flap is sometimes performed. This procedure usually requires a standard thoracotomy, even if video-assisted thoracoscopic surgery (VATS) is better for the patient. Our patient was a 76-year-old male with lung cancer and severe diabetes mellitus. He underwent lobectomy and systematic nodal dissection combined with bronchial stump reinforcement using an intercostal muscle flap, performed as a VATS procedure. No postoperative complications were observed. This procedure is applicable to patients who are candidates for VATS lobectomy.




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 Eur. J. Cardiothorac. Surg.Home page
T. Maniwa, Y. Saito, H. Kaneda, and H. Imamura
Bronchial stump reinforcement with the intercostal muscle flap without adverse effects.
Eur. J. Cardiothorac. Surg., October 1, 2006; 30(4): 652 - 656.
[Abstract] [Full Text] [PDF]


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