Avoiding completion pneumonectomy by omentopexy for bronchial dehiscence

Takuro Miyazaki*, Naoya Yamasaki, Tomoshi Tsuchiya, Keitaro Matsumoto, Ryotaro Kamohara, Go Hatachi, Shigekazu Hidaka, Takeshi Nagayasu

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

A 56-year-old man underwent right upper sleeve lobectomy with mediastinal lymph node dissection after induction chemoradiotherapy (CRT) for advanced non-small cell lung cancer (NSCLC). The patient developed anastomotic dehiscence 11 days postoperatively. A fistula measuring 10 mm in diameter was found around the transition region between cartilage and membranous portions of the bronchus. To avoid completion right pneumonectomy, omentopexy was performed to cover the bronchial dehiscence and facilitate healing. The patient's condition improved after a redo operation with surveillance bronchoscopy to check the anastomotic status. Omentopexy may be a feasible treatment option for bronchial dehiscence and could help to avoid completion pneumonectomy (CP).

Original languageEnglish
Pages (from-to)E226-E229
JournalJournal of Thoracic Disease
Volume9
Issue number3
DOIs
StatePublished - 2017/03/01

Keywords

  • Bronchial dehiscence
  • Induction chemoradiotherapy (CRT)
  • Omentopexy

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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