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Ann Thorac Surg 2007;84:971-972
© 2007 The Society of Thoracic Surgeons

Original Articles: General Thoracic

Invited commentary

Kemp Howard Kernstine, MD, PhD

Department of Thoracic Surgery, Lung Cancer and Thoracic Oncology Program, City of Hope Medical Center, 1500 E Duarte Rd, Warsaw MOB, Duarte, CA 91010-3000

(Email: kkernstine@coh.org).

The first 20% of the full text of this article appears below.

Post-pneumonectomy bronchial stump fistula (BPF) is relatively uncommon. When BPF occurs, there is a high risk of morbidity and mortality, and usually requires a long hospital stay, often with poor, long-term outcome. Efforts to prevent BPF have been the subject of many articles and book chapters. Adherence to the principles attributed to Professor Richard Sweet decades ago minimize and potentially eliminate the occurrence of BPF (ie, avoiding long bronchial stumps so that the closure is adjacent to the blood supply and minimizes the pooling of endobronchial secretions, avoiding injury to the posterior bronchial arterial blood supply, avoiding the injury to bronchial tissue, avoiding tension of the bronchial closure [eg, by selectively using staplers, stapler thickness, or avoiding staplers and performing a hand sewn closure], avoiding tumor at the bronchial stump, and avoiding closure of the . . . [Full Text of this Article]


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Bronchial Stump Buttressing With an Intercostal Muscle Flap in Diabetic Patients
Panagiotis G. Sfyridis, Emmanouil I. Kapetanakis, Nikolaos E. Baltayiannis, Nikolaos V. Bolanos, Dimitrios S. Anagnostopoulos, Antonios Markogiannakis, and Antonios Chatzimichalis
Ann. Thorac. Surg. 2007 84: 967-971. [Abstract] [Full Text] [PDF]





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