Randomized Study Comparing Equal Height Staples With Graduated Height Staples in Bronchial Closure

Okami, Jiro; Tokunaga, Tohru; Kanou, Takashi; Kunou, Hidenori; Ishida, Daisuke; Fujiwara, Ayako; Ito, Yuri; Higashiyama, Masahiko

doi:10.1016/j.athoracsur.2017.02.070

Cited by 14 publications

(7 citation statements)

References 11 publications

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“…The de nitive strategy is to close the stula, several techniques ranging from surgery to endoscopy can be carried out. Although some stulas may resolve spontaneously or with appropriate supportive management, the de nitive managements are required in vast majority of stulas [16]. Surgery remains the cornerstone, which included open window thoracostomy, completion pneumonectomy, thoracoplasty, suture closure with a vascularized pedicle of omentum or muscle.…”

Section: Discussionmentioning

confidence: 99%

Modified Silicone Stent in the Treatment of Bronchopleural Fistula: Clinical Observation of 17 Cases

Zeng¹,

Wu²,

Chen³

et al. 2020

Preprint

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Objective: Bronchopleural fistula is a rare but life-threatening event with limited therapeutic options. Aim of our study is to investigate the efficacy and safety of the modified silicone stent in patients with bronchopleural fistula.Method: Between March 2016 and April 2020, we retrospectively collected 17 patients with bronchopleural fistula and who underwent bronchoscopic placement of the modified silicone sten. The Y-shaped stent was tailored and sutured manually. The initial success, clinical success, the cured rate and complications were recorded. Results: Placement of the modified silicone stent was successful in 16 patients on first attempt (initial success rate was 94.1%). The median follow-up time was 107(rang, 5-431) days. The amelioration of respiratory symptoms was reported in all patients. There were 14 patients with empyema, the daily drainage was significantly decreased in 11 patients over time, and the purulent fluid completely disappeared in six patients. The clinical success rate was 76.5%. There were seven stents was removed during follow-up, four (26.7%) removed for cured fistula, two for the severe proliferation of granulation tissue and one for the dislocation of stent. No severe adverse events of stent migration and suture dehiscence happened. There were three cases were lost to follow-up and seven patients succumbed. The cause of death included progression of primary malignance, the uncontrolled infection, myocardial infarction and left heart failure.Conclusion: The modified silicone stent may be an effective and safe option for bronchopleural fistula patients in whom the conventional therapy is inappropriate and contraindicated.

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Section: Discussionmentioning

confidence: 99%

Modified Silicone Stent in the Treatment of Bronchopleural Fistula: Clinical Observation of 17 Cases

Zeng¹,

Wu²,

Chen³

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…surgery, endoscopy) being available. Although stula might be resolved spontaneously or with appropriate supportive management, the targeted managements are required in the majority of cases [19]. Surgery (including open thoracostomy, completion pneumonectomy, thoracoplasty, suture closure with a vascularized pedicle of omentum or muscle) remains the cornerstone treatment approach.…”

Section: Discussionmentioning

confidence: 99%

Modified silicone stent for the treatment of post-surgical bronchopleural fistula: A clinical observation of 17 cases

Zeng¹,

Wu²,

Chen³

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Bronchopleural fistula is a rare but life-threatening event with limited therapeutic options. We aimed to investigate the efficacy and safety of the modified silicone stent in patients with post-surgical bronchopleural fistula.Methods: Between March 2016 and April 2020, we retrospectively reviewed the records of 17 patients with bronchopleural fistula and who underwent bronchoscopic placement of the Y-shaped silicone stent. The rate of initial success, clinical success and clinical cure, and complications were analyzed. Results: Stent placement was successful in 16 patients in the first attempt (initial success rate: 94.1%). The median follow-up time was 107 (range, 5-431) days. All patients achieved amelioration of respiratory symptoms. The clinical success rate was 76.5%. Of the 14 patients with empyema, the daily drainage was progressively decreased in 11 patients, and empyema completely disappeared in six patients. Seven stents were removed during follow-up: four (26.7%) for the cure of fistula, two for severe proliferation of granulomatous tissue and one for stent dislocation. No severe adverse events (i.e. massive hemoptysis, suture dehiscence) took place. Seven patients died (due to progression of malignancy, uncontrolled infection, myocardial infarction and left heart failure).Conclusions: The modified silicone stent may be an effective and safe option for patients with post-surgical bronchopleural fistula patients in whom conventional therapy is contraindicated.

show abstract

“…surgery, endoscopy) being available. Although stula might be resolved spontaneously or with appropriate supportive management, the targeted managements are required in the majority of cases [20]. Surgery (including open thoracostomy, completion pneumonectomy, thoracoplasty, suture closure with a vascularized pedicle of omentum or muscle) remains the cornerstone treatment approach.…”

Section: Discussionmentioning

confidence: 99%

Modified silicone stent for the treatment of post-surgical bronchopleural fistula: A clinical observation of 17 cases

Zeng¹,

Wu²,

Chen³

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Bronchopleural fistula is a rare but life-threatening event with limited therapeutic options. We aimed to investigate the efficacy and safety of the modified silicone stent in patients with post-surgical bronchopleural fistula.Methods: Between March 2016 and April 2020, we retrospectively reviewed the records of 17 patients with bronchopleural fistula and who underwent bronchoscopic placement of the Y-shaped silicone stent. The rate of initial success, clinical success and clinical cure, and complications were analyzed.Results: Stent placement was successful in 16 patients in the first attempt (initial success rate: 94.1%). The median follow-up time was 107 (range, 5-431) days. All patients achieved amelioration of respiratory symptoms. The clinical success rate was 76.5%. Of the 14 patients with empyema, the daily drainage was progressively decreased in 11 patients, and empyema completely disappeared in six patients. Seven stents were removed during follow-up: four (26.7%) for the cure of fistula, two for severe proliferation of granulomatous tissue and one for stent dislocation. No severe adverse events (i.e. massive hemoptysis, suture dehiscence) took place. Seven patients died (due to progression of malignancy, uncontrolled infection, myocardial infarction and left heart failure).Conclusions: The modified silicone stent may be an effective and safe option for patients with post-surgical bronchopleural fistula patients in whom conventional therapy is contraindicated.

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Randomized Study Comparing Equal Height Staples With Graduated Height Staples in Bronchial Closure

Abstract: The graduated height staples had significantly higher scores of the staple formation on the bronchia stump than the equal height staples. From the clinical point of view, both the equal height staples and the graduated height staples showed acceptable performance in the stapling ability.

Cited by 14 publications

References 11 publications

Modified Silicone Stent in the Treatment of Bronchopleural Fistula: Clinical Observation of 17 Cases

Modified Silicone Stent in the Treatment of Bronchopleural Fistula: Clinical Observation of 17 Cases

Modified silicone stent for the treatment of post-surgical bronchopleural fistula: A clinical observation of 17 cases

Modified silicone stent for the treatment of post-surgical bronchopleural fistula: A clinical observation of 17 cases

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