Endobronchial Closure of a Bronchopleural Fistula Using a Fibrin Glue-Coated Collagen Patch and Fibrin Glue
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概要
- 論文の詳細を見る
Bronchopleural fistulas associated with empyema can occur as life-threatening sequelae after pulmonary resection, occurring most frequently after pneumonectomy. Three bronchopleural fistulas, 5-6 mm in diameter, were successfully treated using a fibrin glue-coated collagen patch (FGCCP) and fibrin glue (FG) at the site of a bronchopleural fistula. Through the clinical experiences, we introduce the methodology to perform the endobronchial closure of bronchopleural fistulas.Data were collected by reviewing the clinical charts of patients diagnosed with post-lobectomy bronchopleural fistula at Sapporo Minami-Sanjo Hospital from June 2004 to December 2010. Bronchopleural fistula was diagnosed by means of endoscopic visualization. Three cases of post-lobectomy and one case of post-pneumonectomy bronchopleural fistula were collected.A FGCCP fragment was packed within the fistula, and the fragment grasped with the forceps was kept in this position for approximately a minute, a time during which a FGCCP becomes adhesive, and the patch fragment was released. After releasing the patch fragment, the FG was applied directly on the FGCCP using a two-channel catheter.There have been few reports of the bronchoscopic closure of bronchopleural fistulas using a FGCCP and FG. Closure of small bronchopleural fistulas with the application of a FGCCP and FG may offer a valuable therapeutic alternative.
- Annals of Thoracic and Cardiovascular Surgery 編集委員会の論文
著者
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Matsui Yoshiro
Department Of Cardiac Surgery Hokkaido University Hospital
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Hase Ryunosuke
Department Of Surgery Hakodate Medical Association Hospital
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Kato Tatsuya
Department Of General Medicine Kanazawa Medical University
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Kaji Mitsuhito
Department Of Surgery Tetsujinkai Eniwa Hospital
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Ishikawa Keidai
Department Of Thoracic Surgery Sapporo Minami-sanjo Hospital
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Kaji Mitsuhito
Department of Thoracic Surgery, Sapporo Minami-Sanjo Hospital, Sapporo, Hokkaido, Japan
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Aragaki Masato
Department of Thoracic Surgery, Sapporo Minami-Sanjo Hospital, Sapporo, Hokkaido, Japan
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Saikai Toyohiro
Department of Respiratory Medicine, Sapporo Minami-Sanjo Hospital, Sapporo, Hokkaido, Japan
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Aragaki Masato
Department of Thoracic Surgery, Sapporo Minami-Sanjo Hospital
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Kato Tatsuya
Department of Thoracic Surgery, Sapporo Minami-Sanjo Hospital, Sapporo, Hokkaido, Japan
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Matsui Yoshiro
Department of Cardiovascular and Thoracic Surgery, Hokkaido University Graduate School of Medicine, Sapporo, Hokkaido, Japan
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