A Case of Bronchoscopic Therapy for Postoperative Bronchial Fistula

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  • 肺摘除術後気管支断端瘻に対する内視鏡的治療経験 : cyanoacrylate を使用した 1 例

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Abstract

We reported a successful case of bronchoscopic therapy for postoperative bronchial fistula. A 51-year-old man underwent right pneumonectomy for adenocarcinoma. Five months after the surgery bronchoscopy and bronchogram revealed a fistula at the surgical stump. At this time we attempted to close the fistula with cyanoacrylate (Aron Alpha A) administered through the bronchoscope. Four weeks after the transbronchial treatment, the closure of the fistula was confirmed by bronchoscopy. Unfortunately the patient died of metastasis to the brain and pancreas 10 months after surgery. This type of transbronchoscopic therapy for postoperative bronchial fistula can be effective for small and early fistula without infection.

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