2020
DOI: 10.1097/md.0000000000022485
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Effective treatment of bronchopleural fistula with empyema by pedicled latissimus dorsi muscle flap transfer

Abstract: Rationale: Bronchopleural fistula (BPF) is a dreaded complication after lobectomy or pneumonectomy and is associated with high morbidity and mortality. Successful management remains challenging when this condition is combined with empyema, and the initial treatment is usually conservative and endoscopic, but operative intervention may be required in refractory cases. Patient concerns: Two patients diagnosed with BPF with empyema were selected to undergo surgery in our h… Show more

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Cited by 9 publications
(10 citation statements)
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“…Stump coverage was previously discussed as a preventive measure for BPF. The objective in treating a BPF with vascularized tissue is to obliterate the postpneumonectomy pleural space [25,71,75,77]. Deciding which muscle flap to use depends on which muscle was preserved or damaged from the previous thoracotomy and the amount of space to be filled [71,75,77].…”
Section: Transposition Of Muscle Flaps To Treat Bpfmentioning
confidence: 99%
See 4 more Smart Citations
“…Stump coverage was previously discussed as a preventive measure for BPF. The objective in treating a BPF with vascularized tissue is to obliterate the postpneumonectomy pleural space [25,71,75,77]. Deciding which muscle flap to use depends on which muscle was preserved or damaged from the previous thoracotomy and the amount of space to be filled [71,75,77].…”
Section: Transposition Of Muscle Flaps To Treat Bpfmentioning
confidence: 99%
“…The objective in treating a BPF with vascularized tissue is to obliterate the postpneumonectomy pleural space [25,71,75,77]. Deciding which muscle flap to use depends on which muscle was preserved or damaged from the previous thoracotomy and the amount of space to be filled [71,75,77]. The most common muscles used in the pleural space to treat a BPF are serratus anterior, pectoralis major, pectoralis minor, latissimus dorsi, and intercostal muscles [25,71,75,77,78].…”
Section: Transposition Of Muscle Flaps To Treat Bpfmentioning
confidence: 99%
See 3 more Smart Citations