The Journal of the Japanese Association for Chest Surgery
Online ISSN : 1884-1724
Print ISSN : 0917-4141
ISSN-L : 0917-4141
Omentum pedicled graft for bronchopleural fistula following pneumonectomy; a case report
Koji KiminoYoshitaka UchiyamaNorio YamaokaShinji AkamineSatoshi Matsuo
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1990 Volume 4 Issue 5 Pages 588-593

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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.
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© The Japanese Association for Chest Surgery
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