207 * SUCCESSFUL TREATMENT OF COMPLICATED POST-PNEUMONECTOMY BRONCHOPLEURAL FISTULA WITH AUTOGENOUS CORTICOCANCELLOUS BONE GRAFT

• DOI: 10.1093/icvts/ivu276.207
• Publication Date: 2014-09-23T12:09:08Z
• Authors: V. Chittithavorn; C. Rergkliang; P. Duangpakdee
• Keywords: Bronchopleural fistula; Thoracostomy; Thoracotomy

Objectives: Post-pneumonectomy bronchopleural fistula (PPBPF) is a severe complication when it associated with empyema. Such complicated PPBPF usually results in prolonged hospital stay, high morbidity and mortality. The objective of the study was to report our early experience initiation autogenous corticocancellous bone graft treatment PPBPF. technique used an aim provide oeteoinduction tracheal mucosa, minimise risk infection. Methods: Between June 2011 September 2013, use initiated 4 patients PPBPF, including 2 primary lung cancers, 1 patient metastatic renal cancer gunshot injury pulmonary hilar. All had developed empyema after period conservative management. On thoracotomy, autologous harvested from adjacent ribs implanted into defect mucosa. Results: PPPF successfully closed within few days surgery all patients. Within mean follow-up ranging 5–33 months, there neither recurrence nor secondary complication. thoracostomy tubes could be removed on average at (2–7 days). Average length stay procedure 9 (6–15 Conclusion: Autologous feasible efficient for surgical management