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17-03-2024 | Pneumonectomy | Original Article

Are precautions actually a risk factor in the development of bronchopleural fistula after pneumonectomy? A retrospective analysis of 299 cases

Authors: Necati Solak, Mehmet Çetin, Mehmet Ali Can, Nesrin Gürçay, Selim Şakir Erkmen Gülhan, Koray Aydoğdu, Göktürk Fındık, Pınar Bıçakçıoğlu

Published in: Updates in Surgery

Abstract

Purpose

Bronchopleural fistula most commonly occurs after pneumonectomies, with high morbidity and mortality. A preventive approach is essential. Risk factors can be classified depending on the patient, anatomy, surgical technique, and other causes.

Methods

Patients (n = 370) who underwent pneumonectomy between 2010 and 2020 were evaluated. The digital media and archive files of the patients (n = 299) were reviewed retrospectively.

Results

While 271 patients (90.6%) were male, 28 (9.4%) were female. The mean age was 56.63 years. The bronchopleural fistula rate was 14.7% (44/299). Serum protein deficiency, right pneumonectomy, completion pneumonectomy, bronchial manual suturing, advanced stage, prolongation of time after neoadjuvant therapy, length of drain and hospital stay, tissue support for the stump, and short bronchial stump were significant for bronchopleural fistula. Smoking in patients operated on for malignancy and low serum albumin value in benign and chronic infectious diseases were significant in terms of fistula. In patients who developed bronchopleural fistula, the 5-year survival rate was 18.4%.

Conclusion

The most important risk factors in bronchopleural fistula depend on the surgical technique and so are completely preventable. Contrary to the literature, short stump and tissue support to the stump were found to be risk factors for fistula. In addition, the effect of the time between neoadjuvant therapy and operation should be examined in further studies.

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Title: Are precautions actually a risk factor in the development of bronchopleural fistula after pneumonectomy? A retrospective analysis of 299 cases
Authors: Necati Solak
Mehmet Çetin
Mehmet Ali Can
Nesrin Gürçay
Selim Şakir Erkmen Gülhan
Koray Aydoğdu
Göktürk Fındık
Pınar Bıçakçıoğlu
Publication date: 17-03-2024
Publisher: Springer International Publishing
Keywords: Pneumonectomy
Bronchoscopy
Published in: Updates in Surgery
Print ISSN: 2038-131X
Electronic ISSN: 2038-3312
DOI: https://doi.org/10.1007/s13304-024-01772-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Are precautions actually a risk factor in the development of bronchopleural fistula after pneumonectomy? A retrospective analysis of 299 cases

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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