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Postoperatif Gelişen Bronkoplevral Fistül

Postoperative Bronchopleural Fistula

Journal Name:

  • Fırat Tıp Dergisi

Publication Year:

  • 2004

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Bronchopleural fistula (BPF) remains the most dreaded complication following thoracic surgery. Its prevalence is reported to range between 0.8% and 15%. Mortality rates for BPF range from 30% to 70%. BPF commonly occurs after right pneumonectomy. Predisposing factors are preoperative uncontrolled pleuropulmonary infection, trauma, and preoperative radiation therapy. CT findings in BPF include air and fluid collections in the pleural space and demonstration of a communication or tract from an airway or the lung parenchyma to the pleural space. A 65 year-old male patient was admitted to our hospital with purulent sputum production and cough. In his history, right bilobectomy and complementary pneumonectomy was performed due to right lung mass. 6 months after the latter surgical operation, his complaints occurred. We present clinical and radiological findings of the patient which diagnosed as BPF, clinically. ©2004, Fırat Üniversitesi, Tıp Fakültesi
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Abstract (Original Language): 
Bronkoplevral fistül (BPF), torasik cerrahi sonrası gelişebilecek en kötü komplikasyondur. Bildirilen sıklığı, % 0,8-15'dir. Mortalite oranı ise % 30-70'dir. BPF, çoğunlukla sağ pnömonektomiden sonra görülür. Preoperatif kontrol edilemeyen plevropulmoner enfeksiyon, travma ve preoperatif radyoterapi uygulanması predispozan faktörlerdir. BPF'deki BT bulguları plevral alandaki hava-sıvı koleksiyonunu içerir ve hava yolundan veya akciğer parankiminden plevral alana olan fistül traktını veya ilişkiyi gösterir. Sağ akciğerindeki kitle nedeniyle, sağ bilobektomi ve tamamlayıcı pnömonektomi uygulanan 65 yaşındaki erkek hastada, ikinci operasyondan 6 ay sonra, pürülan balgam çıkarma ve öksürük şikayetleri başlamış. Klinik olarak BPF tanısı konulan hastanın klinik ve radyolojik bulgularını sunuyoruz. ©2004, Fırat Üniversitesi, Tıp Fakültesi
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  • 4
134-136
  • Turkish

REFERENCES

References: 

1. Kim EA, Lee KS, Shim YM, et al. Radiographic and CT Findings in Complications Following Pulmonary Resection. Radiographics
2002; 22:67-86.
2. Desai SR, Wilson AG, Pleura And Pleural Disorders. In: Armstrong P, Wilson AG, Dee P, Hansell DM, eds. Imaging of Diseases of the Chest. 3rd ed. London: Mosby, 2000; 774-775.
3. Raynaud C, Crestani B, Grossin M, et al. Lung infiltrate in a male with a bronchopleural fistula. Eur Respir J 2003; 21:1078-1080.
4. Hollaus PH, Lax F, el-Nashef BB, Hauck HH, Lucciarini P, Pridun NS. Natural history of bronchopleural fistula after pneumonectomy: a review of 96 cases. Ann Thorac Surg 1997; 63:1391-1397.
5. Deschamps C, Bernard A, Nichols FC 3rd, et al. Empyema and bronchopleural fistula after pneumonectomy: factors affecting
incidence. Ann Thorac Surg 2001; 72:243-247.
6. Bazzocchi R, Bini A, Grazia M, Petrella F. Bronchopleural fistula prevention after major pulmonary resection for primary lung
cancer. Eur J Cardiothorac Surg 2002; 22: 160.
7. Sirbu H, Busch T, Aleksic I, Schreiner W, Oster O, Dalichau H. Bronchopleural fistula in the surgery of non-small cell lung cancer: incidence, risk factors, and management. Ann Thorac Cardiovasc
Surg 2001; 7:330-336.
8. Halling JD, Johnson FE. Eloesser procedure for postpneumon-ectomy bronchopleural fistula. Am J Surg 2004;187:100-101.
9. Lin J, Iannettoni MD. Closure of bronchopleural fistulas using albumin-glutaraldehyde tissue adhesive. Ann Thorac Surg. 2004;
77:326-328.
10. Westcott JL, Volpe JP. Peripheral bronchopleural fistula: CT evaluation in 20 patients with pneumonia, empyema, or postoperative air leak. Radiology 1995; 196:175-181.

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