Abstract
The omentum is currently being used to promote wound healing in chest surgery. A 67-year-old male had a left pneumonectomy through a median sternotomy for primary lung cancer. The p-TNM stage was III B in T4N3N0 classification. Eight weeks later, he developed a cough and hemoptysis. Bronchoscopy showed a bronchial fistula at the bronchial stump. It failed to treat this fistula with fibrin glue through the bronchoscope. An omentum pedicled graft was placed in the left thoracic cage trans-diaphragmatically and fixed over the bronchial fistula. The patient's course has been satisfactory.
We consider the omentum to be a very useful tissue for the repair of bronchial fistula following pneumonectomy.