Successful Closure of a Refractory Bronchopleural Fistula Associated with Empyema Using Polyglycolic Acid and Tissue Sealing Sheets and Fibrin Glue Under Local Anesthetic Thoracoscopy

DOI
  • Yoden Makoto
    Department of Thoracic Surgery, National Hospital Organization Kyoto Medical Center
  • Watanabe Atsuko
    Department of Thoracic Surgery, National Hospital Organization Kyoto Medical Center
  • Kaku Ryosuke
    Department of Thoracic Surgery, National Hospital Organization Kyoto Medical Center
  • Sawai Satoru
    Department of Thoracic Surgery, National Hospital Organization Kyoto Medical Center

Bibliographic Information

Other Title
  • 膿胸治癒後の難治性気管支胸膜瘻に対して局所麻酔胸腔鏡下にポリグリコール酸シートとシート状生物学的組織接着剤およびフィブリン糊を用いて瘻孔閉鎖を行った1例

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Description

<p>Background. Bronchopleural fistula (BPF) associated with empyema can be fatal and is often therapeutically challenging. Surgical options, such as open-window thoracostomy, are considered in cases of unsuccessful conservative management. Reportedly, Bronchial occlusion techniques are reported to be effective and minimally invasive. Case. An 87-year-old man with empyema complicated by BPF underwent thoracic drainage; however, BPF persisted despite treatment. We performed successful thoracoscopic fistula closure under non-intubated local anesthesia using polyglycolic acid sheets (Neoveil Sheet®) and fibrin glue (Bolheal®), followed by coverage with tissue sealing sheets (TachoSil®) and additional fibrin glue. Conclusion. Thoracoscopic BPF closure using polyglycolic acid and tissue sealing sheets and fibrin glue is a straightforward, effective, and minimally invasive therapeutic option.</p>

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Details 詳細情報について

  • CRID
    1390022863716033408
  • DOI
    10.18907/jjsre.47.3_241
  • ISSN
    21860149
    02872137
  • Text Lang
    ja
  • Data Source
    • JaLC
  • Abstract License Flag
    Disallowed

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