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bronchopleural fistula following application of Hem-o-lock clip at bronchial stump after lobectomy:A case report

World Journal of Clinical Cases 2025年第13期13卷 35-40页

作者： Qian-Yu Li Xiao-Long Wang Feng Zhang Hai-Tao Wei Huaihe Hospital of Henan University Kaifeng 475000Henan ProvinceChina Department of Thoracic Surgery Huaihe Hospital of Henan UniversityKaifeng 475000Henan ProvinceChina

BACKGROUND Hem-o-lock clip,a versatile and reliable non-absorbable tissue clip,has gained widespread acceptance in laparoscopic surgeries for vessel ligation and tissue *** efficacy and safety have been *** SUMMARY This case report describes the occurrence of a bronchopleural fistula following the application of the Hem-o-lock clip for the treatment of a lobar bronchial stump after *** This case underscores the importance of exercising caution when using the Hem-o-lock clip for the management of non-vascular tissues during thoracic surgery.

关键词： bronchopleural fistula Hem-o-lock clip Lobectomy Surgical complications Case report

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Successful surgical treatment of bronchopleural fistula caused by severe pulmonary tuberculosis:A case report and review of literature

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World Journal of Clinical Cases 2023年第10期11卷 2282-2289页

作者： Lei Shen Yu-Hui Jiang Xi-Yong Dai Department of Thoracic Surgery Wuhan Pulmonary HospitalWuhan 430030Hubei ProvinceChina

BACKGROUND bronchopleural fistula(BPF)is a relatively rare,but severe complication of pulmonary *** is associated with significant mortality;however,its management remains a major therapeutic *** SUMMARY We present a 24-year-old man with BPF resulting from severe pulmonary tuberculosis combined with mixed *** damaged right upper lobe and concomitant empyema were demonstrated via computed *** undergoing open-window thoracostomy and tuberculosis treatment for 4 mo,decortication and right upper lobectomy were subsequently performed,leading to the resolution of tuberculosis and other concurrent pulmonary ***,6 mo after surgery,failed to reveal any evidence of infection recurrence resulting in a good *** The disease course of tuberculous BPF is particularly *** intervention serves as an effective and safe therapeutic strategy for BPF.

关键词： bronchopleural fistula Tuberculosis Surgery Case report

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Chimeric ALT Perforator-Free Flap with Vastus Lateralis Muscle for the Obliteration of the Intrathoracic Dead Space Post-Pneumonectomy: A Case Report

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Modern Plastic Surgery 2023年第3期13卷 63-73页

作者： Nelson Oduor Ouma Daniel Odhiambo Otieno Lee Njagi Munge Ferdinand Wanjala Nang’ole Department of Surgery Plastic Reconstructive and Aesthetic Surgery Thematic Unit College of Health Sciences The University of Nairobi Nairobi Kenya

Chest wall reconstruction is a surgical procedure aimed at restoring the integrity and function of the chest wall, which may be damaged due to trauma, cancer, infection, or congenital defects. The chest wall plays a vital role in protecting the thoracic organs, supporting the respiratory system, and maintaining the shape of the chest. Therefore, any defect or deformity of the chest wall can have significant functional and aesthetic consequences for the patient. The authors present a case report at Kenyatta National Hospital (KNH) of a dyspneic 47-year-old male patient with a right anterolateral chest wall defect post-pneumonectomy previously complicated by bronchopleural fistula. Past attempts at the chest wall reconstruction had utilized the ipsilateral latissimus dorsi muscle, pectoralis major muscle, and the omental pedicled flaps with limited success. A chimeric anterolateral thigh (ALT) perforator-free flap with vastus lateralis (VL) muscle was used to obliterate the post-pneumonectomy intrathoracic dead space and to provide a cutaneous paddle. This case report aims to show the versatility of the ALT flap for chest wall reconstruction to prevent the post-pneumonectomy syndrome associated with tracheal deviation, inspiratory stridor, and exertional dyspnea. In conclusion, chest wall reconstruction with obliteration of intrathoracic dead space post-pneumonectomy is challenging and needs careful planning and execution.

关键词： Chest Wall Reconstruction bronchopleural fistula Pneumonectomy Chimeric ALT Flap Intrathoracic Dead Spacepost-Pneumonectomy

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