Postoperative bronchopleural fistula repair: Surgical outcomes and adverse factors for its success

Background The purpose of this study was to investigate the results of postoperative bronchopleural fistula repair and to identify adverse factors for its success. Methods We retrospectively reviewed the surgical results of 39 patients who underwent surgical repair for postoperative bronchopleural f...

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Bibliographic Details
Published in:Thoracic cancer 2022-05, Vol.13 (9), p.1401-1405
Main Authors: Yang, Young Ho, Park, Seong Yong, Kim, Ha Eun, Park, Byung Jo, Lee, Chang Young, Lee, Jin Gu, Kim, Dae Joon, Paik, Hyo Chae
Format: Article
Language:English
Subjects:
Bronchial Fistula - etiology
Bronchial Fistula - surgery
bronchopleural fistula
Connective tissue diseases
Diabetes
Fistula
Hospitals
Humans
Lung cancer
Lung diseases
lung transplant
Lung transplants
mechanical ventilation
Mortality
omental flap
Original
Ostomy
Patients
Pleural Diseases - etiology
Pleural Diseases - surgery
Pneumonectomy
Pneumonectomy - adverse effects
Postoperative Complications - etiology
Postoperative Complications - surgery
Pulmonary fibrosis
pulmonary resection
Retrospective Studies
Risk factors
Steroids
Surgical outcomes
Surgical techniques
Thoracic surgery
Treatment Outcome
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Summary:Background The purpose of this study was to investigate the results of postoperative bronchopleural fistula repair and to identify adverse factors for its success. Methods We retrospectively reviewed the surgical results of 39 patients who underwent surgical repair for postoperative bronchopleural fistula between January 2010 and June 2020. Success of bronchopleural fistula repair was defined as the visual closure of the bronchopleural fistula with the absence of an air leak, a recurrence of bronchopleural fistula and infection in the thoracic cavity. Results Twenty‐five (64.1%) bronchopleural fistulas occurred after pulmonary resection and 14 (35.9%) after lung transplantation. Bronchopleural fistula was diagnosed 19 days (median) and repaired 28 days (median) after the initial operation by primary closure in 27 (69.2%) patients, and by additional resection in 12 (30.8%) patients. The overall success rate was 59% (23/39) and the overall mortality was 56.4% (22/39). Multivariable analysis revealed that the patients who were supported by mechanical ventilation at the time of repair had significantly lower success rates than those without (15.4%, 2/13 vs. 80.8%, 21/26, respectively, p 
ISSN:1759-7706
1759-7714
DOI:10.1111/1759-7714.14404