A Case of Bronchial Stump Fistula Successfully Treated by Bronchial Intervention with Polyglycolic Acid Sheet and Fibrin Glue Using a Combination of Bronchoscopy and Thoracoscopic Surgery

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  • 胸腔鏡と気管支鏡を併用し，ポリグリコール酸シートとフィブリン糊を用いた瘻孔閉鎖術により治療に成功した気管支断端瘻の1例

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<p>Background. Bronchial stump fistula is a serious complication after lung resection and often difficult to treat. Recently, various bronchoscopic interventions and their effectiveness have been reported. Case. An 85-year-old man developed pyothorax after right upper lobectomy. Bronchoscopy showed a bronchial fistula in the right upper bronchial stump. We attempted endoscopic bronchial occlusion with a polyglycolic acid (PGA) sheet and fibrin glue, but it was ineffective. Later, we retried endoscopic bronchial occlusion with a PGA sheet and fibrin glue using a combination of bronchoscopy and thoracoscopic surgery. While observing the inside of the cavity with a thoracoscope, the sheet was placed in an appropriate position. After that, the air-leakage stopped and the pyothorax improved. Conclusion. Bronchial intervention with a PGA sheet and fibrin glue is a simple and useful treatment, and combining of bronchoscopy and thoracoscopic surgery is considered effective for ensuring the success of this procedure.</p>

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