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The Annals of Thoracic Surgery, Vol 52, 1253-1257, Copyright © 1991 by The Society of Thoracic Surgeons
SR Vester, LP Faber, CF Kittle, WH Warren and RJ Jensik
The incidence of bronchopleural fistula after stapling among 2,243
pulmonary resections at the Rush-Presbyterian-St. Luke's Medical Center has
been reviewed. There were 35 fistulas in 1,773 stapled and in 470 sutured
bronchi (segmentectomy, 2; lobectomy, 1; bilobectomy, 9; and pneumonectomy,
23). We have found that the stapler is expedient and simple to use, and
that it produces a hermetic and uniform closure. The stapler is
contraindicated when the bronchus is thickened, inflamed, or of
insufficient length. The overall incidence of bronchopleural fistula was
1.6%. Approximately two thirds of the patients with bronchopleural fistula
had preoperative radiation therapy or chemotherapy or both.
ARTICLES
Bronchopleural fistula after stapled closure of bronchus
Rush-Presbyterian-St. Luke's Medical Center, Chicago, Illinois.
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