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Ann Thorac Surg 2000;69:1629-1630
© 2000 The Society of Thoracic Surgeons

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Updates

Postoperative bronchopleural fistula: endoscopic closure in 12 patients

^a Department of Respiratory Diseases, St. Giovanni Battista Hospital, Torino, Italy
^b Department of Thoracic Surgery, University of Torino, Torino, Italy
^c Department of Thoracic Surgery, St. Luigi Gonzaga Hospital, Orbassano, Italy

As originally published in 1994:

Ermanno Scappaticci, MD, Francesco Ardissone, MD, Enrico Ruffini, MD, Sergio Baldi, MD, and Maruizio Mancuso, MD

Department of Respiratory Disease, Hospital Molinette, and Department of Thoracic Surgery, University of Torino, Torino, Italy

Twelve consecutive patients with postresectional bronchopleural fistula were treated with endoscopic application of tissue glue adhesive (methyl-2-cyanoacrylate). Eight patients had associated empyema. Endoscopic gluing was successfully accomplished in 10 cases (success rate of 83%). The two failures both had fistulas of 0.5 cm or larger. Bronchopleural fistulas developed in 8 patients early after the intervention (< 15 days): of the 4 patients without associated empyema, 3 had their fistula definitely closed after endoscopic treatment. Similarly, 3 of the 4 patients with early bronchopleural fistulas and empyema were cured after endoscopic closure of the fistula and appropriate management of the empyema. Four bronchopleural fistulas occurred later after the operation (> 15 days) and all had associate empyema. Successful endoscopic closure of the fistula was accomplished in all. Resolution of the empyema occurred in 1. We conclude that endoscopic application of tissue adhesive may be a valid therapeutic . . . [Full Text of this Article]

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