An alternative technique of dealing special cases of bronchopleural fistulas

Ilias A. Kouerinis, Anna Ntalipi, Mohamed Komber, Kostas Triantafillou


The closure of a bronchopleural fistula (BPF) complicating pneumonectomy remains a serious challenge for the surgeon. Although several endoscopic, surgical and combined (surgical + endoscopic) techniques have been proposed to manage this complication, serious technical challenges appear when the bronchial stump is too rigid and/or is in very close proximity to the carina. In such cases the use of common staplers can be proved ineffective or even hazardous. In the present we describe a tension-free technique for buttressing the bronchial stump with intercostal muscle flap. Although we have not applied this technique neither in humans nor in animals yet, its theoretic advantages are obvious and we believe that it can be applied to specific cases of BPF’s with very short and rigid bronchial stump.


Bronchopleural fistula, Treatment, Surgical technique

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