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Asian Cardiovasc Thorac Ann 2007;15:45-48
© 2007 Asia Publishing EXchange Ltd

ORIGINAL CONTRIBUTIONS

Bronchopleural Fistula After Lobectomy for Lung Cancer

Itaru Nagahiro, MD, Motoi Aoe, MD, Yoshifumi Sano, MD, Hiroshi Date, MD, Akio Andou, MD, Nobuyoshi Shimizu, MD

Department of Cancer and Thoracic Surgery, University of Okayama Medical School, Okayama, Japan

For reprint information contact: Itaru Nagahiro, MD Tel: 81 79 294 2251 Fax: 81 79 296 4050 Email: inagahiro{at}hrc-hp.com, Department of General Thoracic Surgery, Himeji Red Cross Hospital, 1-12-1 Shimoteno, Himeji, 670-8540, Japan.

Bronchopleural fistula after lung resection is a fatal complication. The aim of this study was to determine the risk factors for bronchopleural fistula after lobectomy for lung cancer. Clinical records of 767 patients who underwent lobectomy or bilobectomy for lung cancer in our institution were reviewed. Twelve patients (1.6%) suffered a bronchopleural fistula, of whom 5 died because of this complication (mortality rate, 41.7%). Multivariate analysis revealed squamous cell carcinoma, preoperative chemotherapy, lower lobectomy, and middle and lower lobectomy were risk factors for bronchopleural fistula. In such cases, particular care must be exercised to maintain blood flow through the bronchial stump during surgery, and reinforcement, such as stump coverage, must be employed.




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