1,721,152 research outputs found
Thoracic aorta endograft as an adjunct to resection of a locally invasive tumor: A new indication to endograft
No full textCovered stent grafts are currently used for arterial aneurysm exclusion, aortic dissection, or peripheral occlusive disease. A new indication to endograft was applied to perform resection of the thoracic aorta for infiltration of an adjacent lung cancer into the vessel wall, avoiding a major vascular intervention for aortic graft interposition associated with tumor resection
Cost analysis of pulmonary lobectomy procedure: comparison of stapler versus precision dissection and sealant [Corrigendum]
No full textDroghetti A, Marulli G, Vannucci J, et al. Clinicoecon Outcomes Res. 2017;9:201–206. On page 205, Acknowledgments section, “This research was funded by an unrestricted grant from Takeda Italia Spa. We are grateful for the collaboration and support of the Administration of Carlo Poma Hospital, Italy” should have been “We are grateful for the collaboration and support of the Administration of Carlo Poma Hospital, Italy”.Read the original articl
A completion sleeve bilobectomy for nonstump postlobectomy bronchopleural fistula
No full textWe present a novel approach for treatment of nonstump postlobectomy bronchial fistula. Our patient had right lower lobectomy for T3 N2 M0 adenocarcinoma. An increased air leak developed 8 days later, and bronchoscopy revealed the presence of a bronchial fistula. On reexploration, the bronchial stump was intact, and the membranous part of the bronchus intermedius was sloughed up to the opening of the upper lobe bronchus. A middle lobectomy with sleeve resection of the bronchus intermedius and part of the right main bronchus was performed, and the upper lobe was reanastomosed to the right main bronchus. The patient's postoperative course was uneventful, and follow-up bronchoscopy showed an intact healed anastomosis
The incidence of post-transplant bronchovascular fistula may be underestimated
No full textWe read with great interest the article by Knight et al.
The investigators reported their experience with 3
cases of post-transplant bronchovascular fistulae (BVF),
and assessed another 9 cases, including our case,2 from
the literature
Repair of a postesophagectomy bronchogastric tube fistula with polyglactin mesh supported with a muscle flap
No full textAbstract
A bronchogastric fistula is a very rare complication of transthoracic esophagectomy. We report a case of bronchogastric fistula after transthoracic esophagectomy caused by dehiscence of the staple line in the gastric tube, with subsequent erosion into the right main bronchus. The patient was managed successfully in two surgical stages. First, the bronchial defect was repaired using a polyglactin mesh covered by a serratus anterior muscle flap. Two months later, the esophagogastric continuity was restored with colon interposition
Acquired tracheoesophageal fistula repair, due to prolonged mechanical ventilation, in patient with double incomplete aortic arch
Full text linkWe report a case of the repair of an acquired benign tracheoesophageal fistula (TEF) after prolonged mechanical invasive ventilation. Patient had an unknown double incomplete aortic arch determining a vascular ring above trachea and esophagus. External tracheobronchial compression, caused by the vascular ring, increasing the internal tracheoesophageal walls pressure determined by endotracheal and nasogastric tubes favored an early TEF development. The fistula was repaired through an unusual left thoracotomy and vascular ring dissection. TEFs are a heterogeneous group of diseases affecting critically ill patients. Operative closure is necessary to avoid further complications related to this condition. Pre-opera-tive study is mandatory to plan an adequate surgical approach
Pericardial flap for bronchial stump coverage after extrapleural pneumonectomy; is it feasible?
No full textBronchial stump reinforcement with viable tissue after pneumonectomy is an important prophylactic measure against the development of bronchopleural fistula. We present our technique of utilizing the pericardium on the posterior wall of the left atrium as a flap to cover the bronchial stump after extrapleural pneumonectomy. From January 1999 to March 2008, we used this technique in 50 patients (29 on the right side and 21 on the left side) with no incidence of bronchopleural fistula or empyema. This technique is proved to be feasible, safe and effective; also it does not increase operative time or surgical trauma
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