A Case of Surgical Repair for Postpneumonectomy Bronchopleural Fistula with an Omentopexy

Abstract

A 75-year-old male had undergone a left pneumonectomy following neoadjuvant chemotherapy with CDDP for a squamous cell carcinoma. The postoperative course was complicated by renal insufficiency and respiratory failure. On the 4th postoperative day, tracheostomy and mechanical ventilation were required. A bronchofiberscope showed a minor aperture in the left main bronchial stump, confirming the diagnosis of bronchopleural fistula at the 8th postoperative day. Endoscopic application of fibrin glue was attempted in vain. Because the air leakage continued, an omentopexy with thoracoplasty was performed 3 weeks after the first operation. The patient made an uneventful recovery.