Bone Plug in the Bronchoscopic Management of Postoperative Bronchopleural Fistulas

Authors

Duy Kevin Duong
Labib G. Debiane, Henry Ford HealthFollow
Avi Cohen, Henry Ford HealthFollow
A. Rolando Peralta, Henry Ford HealthFollow
Javier Diaz-Mendoza, Henry Ford HealthFollow
Michael Simoff, Henry Ford HealthFollow

Recommended Citation

Duong DK, Debiane LG, Cohen A, Peralta AR, Diaz-Mendoza J, and Simoff MJ. Bone Plug in the Bronchoscopic Management of Postoperative Bronchopleural Fistulas. Ann Thorac Surg Short Rep 2024; 2(3):427-431.

Document Type

Article

Publication Date

9-1-2024

Publication Title

Ann Thorac Surg Short Rep

Abstract

BACKGROUND: Bronchopleural fistula (BPF) is a rare and often difficult postoperative complication to manage. This case series describes a bronchoscopic technique using a bone plug for closure of BPFs.

METHODS: Six patients at Henry Ford Hospital from 2014 to 2021, who had a postoperative BPF after lung resection with curative intent for non-small cell lung cancer, underwent bronchoscopic placement of a customized bone plug.

RESULTS: All 6 patients experienced initial resolution of the BPF after bone plug placement. Four of the 6 (66.7%) patients were inpatients, with severe pleural space infections requiring chest tube drainage; all patients clinically improved with resolution of persistent air leaks resulting in chest tube removal. Two of the 6 (33.3%) patients had BPF recurrence within 2 months, and 2 of the /6 (33.3%) patients also eventually required additional surgical repair.

CONCLUSIONS: Endobronchial placement of a customized bone plug is an option for the management of postoperative BPF.

PubMed ID

39790421

Volume

2

Issue

3

First Page

427

Last Page

431