ArticleJournal of cardiothoracic surgery2022
Novel method for bronchial stump coverage for prevents postpneumonectomy bronchopleural fistula: pedicled thymopericardial fat flap.
Article in Journal of cardiothoracic surgery, 2022. 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.
- Transsternal bronchial closure: a narrative review.Journal of thoracic disease · 2026Review
- Clinical characteristics and postoperative quality of life analysis in pediatric unilateral total pneumonectomy.Pediatric surgery international · 2026Article
- Intrathoracic retention time of pericardial fat pads without pedicle in bronchial stump coverage: insights from a retrospective study.Journal of thoracic disease · 2025Article
- Free pericardial fat pad for covering bronchial stump after thoracoscopic lobectomy: a sutureless method.Indian journal of thoracic and cardiovascular surgery · 2025Article
- Key risk factors for mortality after pneumonectomy for lung cancer: insights from a large single-center cohort study.Journal of thoracic disease · 2025Article
- [Retrospective Study of Bronchoscopic Intervention Therapy for Bronchopleural Fistula Induced by Pulmonary Surgery].Zhongguo fei ai za zhi = Chinese journal of lung cancer · 2024Article
- Successful surgical treatment of bronchopleural fistula caused by severe pulmonary tuberculosis: A case report and review of literature.World journal of clinical cases · 2023Article
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Authors and funding
3 authors.
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Abstract
backgroundBronchopleural fistula (BPF) is a serious complication with high mortality and morbidity that can be seen after lung resections. Although several methods have been described to prevent postoperative BPF it is still unclear which method is the best. In this study, we have used tymopericardial fat flap (TPFF) to cover the bronchial stump in patients after pneumonectomy and aim to show its feasibility and efficacy to prevent BPF.
methodsBetween January 2013 and June 2021, 187 patients with lung cancer underwent pneumonectomy at our institution. Among them, 53 patients underwent bronchial stump coverage with TPFF. In other 134 patients there wasn't used any coverage method. Patient characteristics, preoperative status, surgical procedures, perioperative course, pathological findings, and long-term prognoses were evaluated retrospectively.
resultsPostoperative BPF was observed in 16 (%8.5) patients. It was observed that TPFF was applied in only 1 of the patients who developed BPF. A statistically significant difference was detected between TPFF-coverage with non-coverage groups in terms of postoperative BPF rates (p = 0.044). Other factors associated with the development of postoperative BPF in univariate analysis were right sided pneumonectomy, and re-operation.
conclusionBronchial stump coverage with TPFF is a feasible and effective method to prevent postpneumonectomy BPF.
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