2023 World Conference on Lung Cancer (Posters)-EP07.01. A Retrospective Study on the Methods of Covering Bronchial Stump/Anastomotic Site to Avoid the Bronchopleural Fistula after Lung Cancer Surgery

EP07.01. A Retrospective Study on the Methods of Covering Bronchial Stump/Anastomotic Site to Avoid the Bronchopleural Fistula after Lung Cancer Surgery - PDF(Slides)

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This study examined the methods used to cover the bronchial stump/anastomotic site in order to prevent bronchopleural fistula (BPF) after lung cancer surgery. BPF is a serious complication, particularly in patients who undergo induction chemoradiotherapy for locally advanced non-small cell lung cancer. The study included 152 patients who underwent radical resection after induction chemoradiotherapy between 1999 and 2019. The covering tissues used included pericardial fat pad and/or thymus, intercostal muscle, omentum, latissimus dorsi muscle, and serratus anterior muscle. The overall frequency of BPF was 3.2%. The study found that the thickness of the covering tissue appeared to be slightly thin in the cases that developed BPF. Furthermore, the thickness of the covering tissue was significantly more abundant in cases without BPF, compared to the cases with BPF. The study suggests that covering the bronchial stump/anastomotic site with thick tissue is important for preventing BPF, regardless of the covering tissue used. Additionally, sacrificing the pulmonary artery branch to the spared lobe is a risk factor for BPF in sleeve lobectomy after induction chemoradiotherapy. Overall, the study highlights the importance of avoiding complications that affect delayed wound healing of the bronchial stump/anastomotic site to prevent BPF in patients undergoing induction chemoradiotherapy followed by surgery for locally advanced non-small cell lung cancer. When complications do occur, the thickness of the covering tissue is an important factor in avoiding or minimizing BPF.

Asset Subtitle

Tomohiro Habu

Meta Tag

Speaker Tomohiro Habu

Topic Early-Stage NSCLC: Best Practice

Keywords

bronchial stump

anastomotic site

bronchopleural fistula

lung cancer surgery

induction chemoradiotherapy

locally advanced non-small cell lung cancer

covering tissue

complications

delayed wound healing

sleeve lobectomy