Abstract
An: 2011, Nr.2, Articol Nr. 13
Title: 

INCIDENCE OF BRONCHIAL STUMP FISTULA AFTER PULMONARY RESECTIONS FOR NON SMALL LUNG CANCER

Authors: 

      B. Suciu, V. Bud, C. Copotoiu - Emergency Clinical County Hospital Tg. Mureş, 1st Surgical Clinic
      Ruxandra Copotoiu - Emergency Clinical County Hospital Tg. Mureş, Intensive Care Unit
      V. Butiurcă - University of Medicine and Pharmacy Tg. Mureş, Student
      Klara Brânzaniuc - University of Medicine and Pharmacy Tg. Mureş, Department of Anatomy
      INCIDENCE OF BRONCHIAL STUMP FISTULA AFTER PULMONARY RESECTIONS FOR NON SMALL LUNG CANCER (Abstract): The wide variability of bronchial stump suturing technique shows us that an ideal method has not been discovered yet. The aim of the present study is to assess the outcomes in terms of occurrence of bronchial fistula after use of an original technique of bronchial stump closure. Material and methods: Data were extracted from medical charts of hospitalized patients admitted in Surgery Department, University County Hospital Tg Mureş, between 1 January 2005 and 31 December 2010. All patients admitted for surgical treatment of tumoral bronchopulmonary diseases were enrolled in our study. Results: Between 1 January 2005 and 31 December 2010, 197 patients with tumoral bronchopulmonary disease were admitted in our Surgery Department. We random the sample in two groups based on the type of surgical technique. Subgroup A in which we included 106 surgical interventions: 13 bilobectomy (12.27%), 52 lobectomy (49, 06%) 41 pneumonectomy (38.67%). Subgroup B in which we included 91 surgical interventions: 54 atypical pulmonary resection (59.34%) and 37 exploratory toracotomy and biopsy (40.66%). We recorded 2 cases with early bronchial fistula (one case after right pneumonectomy and one case secondary to left pneumonectomy) and 5 cases with late bronchial fistula( one case after lobectomy, one case after bilobectomy, one case after left pneumonectomy, and two cases after right pneumonectomy). Conclusions: The bronchial fistula after adjusted pneomonectomy for lung cancer exposes these patients to a bad outcome. The incidence of bronchial fistula is increase by follow conditions: radiotherapy treatment, blood transfusion treatment before surgery treatment, right pneumonectomy and diabetes mellitus. The main risk factor for late bronchial fistula occurrence is radiotherapy.
Key words: FISTULA, STUMP, LUNG, CANCER, PNEUMECTOMY
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