Omentoplasty in the treatment of bronchopleural fistula after pulmonary resections

Year 2021, Volume: 46 Issue: 4, 1327 - 1335, 30.12.2021

Volkan Erdoğu Cemal Aker Atilla Pekçolaklar Semih Erduhan Yunus Aksoy Özgür İşgörücü Muzaffer Metin

https://doi.org/10.17826/cumj.976447

Cited By: 1

Abstract

Purpose: Bronchopleural fistula (BPF) is a complication that can occur after pulmonary resections onset may be early or late. This study aims to present our results using omentoplasty in the treatment of BPF.
Materials and Methods: We retrospectively evaluated the data of patients who developed BPF after pulmonary resection between 2010 and 2020. The results of the patients who underwent omentoplasty during surgical revision for BPF were analyzed in terms of surgical methods used, timing of the procedure, and surgical success.
Results: BPF formed in 52 (2.1%) of 2486 patients who underwent anatomical lung resection. Fourteen (26.9%) of the patients with BPF were treated with omentoplasty. All of the patients were men and the median age was 58 years (range, 27-75 years). Among the patients who underwent omentoplasty, the median time from pulmonary resection to BPF development was 22 days (range, 4-221 days). The median time from BPF development to omentoplasty was 9.5 days (range, 4-485 days). Seven (50%) of the patients developed BPF after pneumonectomy and the other 7 (50%) after lobectomy. Most post-pneumonectomy BPFs occurred after right pneumonectomy (n=6, 85.7%). BPF developing after right pneumonectomy constituted 43% of all BPFs (n=6). Surgical success was achieved in 13 (92.9%) of the 14 patients who underwent BPF closure with omentoplasty.
Conclusion: Omentoplasty has low complication and high success rates and can be used safely for the treatment of BPF.

Keywords

Bronchopleural fistula, omentoplasty, stoma, revision

Akciğer rezeksiyonları sonrası gelişen bronkoplevral fistül tedavisinde omentoplasti

Abstract

Amaç: Bronkoplevral fistül (BPF), akciğer rezeksiyonları sonrasında erken veya geç dönemde oluşabilen bir komplikasyondur. Bu çalışmanın amacı, BPF tedavisinde omentoplasti kullanım sonuçlarını sunmaktır.
Gereç ve Yöntem: 2010-2020 yılları arasında akciğer rezeksiyonu sonrası BPF gelişen hastaların verilerini retrospektif olarak değerlendirdik. BPF nedeniyle cerrahi revizyon sırasında omentoplasti yapılan hastaların sonuçları, kullanılan cerrahi yöntemler, işlemin zamanlaması ve cerrahi başarısı açısından analiz edildi.
Bulgular: Anatomik akciğer rezeksiyonu yapılan 2486 hastanın 52'sinde (%2.1) BPF gelişti. BPF olan hastaların 14'ü (%26,9) omentoplasti ile tedavi edildi. Hastaların tamamı erkekti ve ortanca yaş 58 (aralık 27-75) idi. Omentoplasti yapılan hastalarda akciğer rezeksiyonundan BPF gelişimine kadar geçen medyan süre 22 gündü (aralık 4-221 gün). BPF gelişiminden omentoplasti işlemine kadar geçen medyan süre 9.5 gündü (aralık 4-485 gün). Hastaların yedisinde (%50) pnömonektomiden sonra BPF gelişirken, diğer 7'sinde (%50) lobektomiden sonra BPF gelişti. Pnömonektomi sonrası BPF'lerin çoğu sağ pnömonektomiden sonra meydana geldi (n=6, %85.7). Sağ pnömonektomi sonrası gelişen BPF, tüm BPF’ lerin %43’ ünü oluşturmaktaydı (n=6). Omentoplasti ile BPF’ü kapatılan 14 hastanın 13'ünde (%92,9) cerrahi başarı elde edildi.
Sonuç: Omentoplasti düşük komplikasyon ve yüksek başarı oranları ile BPF tedavisinde güvenle kullanılabilir

Keywords

Bronkoplevral fistül, omentoplasti, stoma, revizyon

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