ArticleBMC pulmonary medicine2026
Bronchopleural fistula after lobectomy: retrospective study of different treatment solutions.
Article in BMC pulmonary medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Surgical strategy for closure of postoperative bronchopleural fistula: a narrative review.Journal of thoracic disease · 2026Review
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9 authors.
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Abstract
backgroundBronchopleural fistula is an abnormal communication between the bronchial tree and the pleural cavity. Management strategies may vary significantly among physicians within the same institution, largely due to differences in clinical judgement and the absence of standardised treatment guidelines.
methodsWe retrospectively reviewed the medical records of patients diagnosed with BPF at the Affiliated Hospital of Qingdao University between 2016 and 2023. Data on etiology, nutritional status, surgical site, treatment approach, drainage duration, and patient outcomes were analyzed.
resultsDuring the study period, 7,550 patients underwent lobectomy, of whom 43 (0.57%) developed postoperative BPF. Among the 24 patients managed conservatively, the 90-day mortality rate was 29.2%. In contrast, the 19 patients who received active interventions had a significantly lower 90-day mortality of 10.2%.
conclusionSelection of an appropriate treatment strategy is critical in the management of BPF. In patients with identifiable risk factors, intraoperative reinforcement of the bronchial stump with fat tissue may be considered. Overall, management strategies should be individualized according to patient characteristics, fistula features, and the clinical context.
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