ArticleJournal of thoracic disease2019
Postoperative changes of the free pericardial fat pad for bronchial stump coverage.
Article in Journal of thoracic disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 14 citations in OpenAlex.
- Effectiveness of free pericardial fat pad reinforcement for air leak control in pulmonary lobectomy.General thoracic and cardiovascular surgery · 2026Article
- Clinical benefits of covering the bronchial stump with a free pericardial fat pad after thoracoscopic lobectomy.Journal of thoracic disease · 2026Article
- Bronchial Stump Coverage Using a Free Pericardial Fat Pad to Prevent Fistula Formation: A Case Report.Cureus · 2025Article
- A case of Aspergillus empyema successfully treated by a single-stage cavernostomy and a covering procedure using both fat pad and muscle flap.General thoracic and cardiovascular surgery cases · 2023Article
- Novel method for bronchial stump coverage for prevents postpneumonectomy bronchopleural fistula: pedicled thymopericardial fat flap.Journal of cardiothoracic surgery · 2022Article
- Changes in pedicle pericardial fat tissue around the anastomotic site after tracheobronchoplasty.Surgery today · 2022Article
- Surgical treatment strategies for refractory unresectable pulmonary fistula.General thoracic and cardiovascular surgery · 2020Article
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBronchopleural fistula (BPF) remains a serious complication after surgery for lung cancer with bronchial resection. A free pericardial fat pad (FPFP) is applied in high-risk cases to reduce BPF frequency. BPF may occur 6 months after surgery. Thus, we evaluated the residual FPFP volume at 6 months after surgery to estimate the residual FPFP ratio and determine the amount of FPFP to be harvested during surgery.
methodsWe retrospectively investigated 40 patients who underwent lobectomy with bronchial stump coverage using FPFP. During surgery, the volume of the harvested FPFP was measured and the FPFP was affixed to the bronchial stump. Further, 6 months after surgery, the residual volume of the installed FPFP was analyzed using a three-dimensional volume analyzer and the residual ratio was calculated. We also evaluated clinicopathological factors influencing the resected FPFP and residual ratio.
resultsThe median resected FPFP volume was 11 [3-40] mL. During multivariate analysis, body mass index and surgical approach were found to be significant factors associated with the resected FPFP volume. The median residual FPFP volume was 4.3 (0.4-15.5) mL. The median residual ratio was 0.39 (0.13-0.66). The resected FPFP volume was significantly associated with the residual volume (P<0.001) but not with the residual ratio (P=0.811). No factor was associated with the residual ratio.
conclusionsIn all cases, residual FPFP was confirmed at 6 months after surgery and the residual ratio was 40%. It is necessary to determine the volume of FPFP to be harvested while carefully considering the shrinkage ratio.
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