Closure of a large bronchial fistula with a latissimus dorsi myocutaneous flap.

Abstract

We describe a case of a large bronchial fistula and empyema after right upper lobectomy that was treated successfully with open window thoracostomy followed by a latissimus dorsi myocutaneous flap and limited thoracoplasty. A latissimus dorsi myocutaneous flap can provide immediate airtight closure of a large bronchial fistula, allowing lavage and curettage of the empyema cavity to reduce the chance of postoperative infection. An important aspect of this technique is that the deepithelialized skin side rather than muscle is sutured to an opening of the bronchus. As compared with other techniques, a latissimus dorsi myocutaneous flap is superior in that it requires a single incision and does not require an intraoperative change of position. In addition, the technique causes little dysfunction of the chest and shoulder and preserves the vascular supply to ensure the viability of the flap even if it was divided in a previous operation.

• Authors: Naoya Katsuragi, Yutsuki Nakajima, Yuji Shiraishi, Masahiro Hashizume, Nobumasa Takahashi
• Journal: The Japanese journal of thoracic and cardiovascular surgery : official publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka Gakkai zasshi (Jpn J Thorac Cardiovasc Surg) Vol. 53 Issue 8 Pg. 440-2 (Aug 2005) ISSN: 1344-4964 [Print] Japan
• PMID: 16164257 (Publication Type: Case Reports, Journal Article)

Topics

• Adenocarcinoma (surgery)
• Aged
• Bronchial Fistula (etiology, surgery)
• Empyema (etiology)
• Humans
• Lung Neoplasms (surgery)
• Male
• Muscle, Skeletal (transplantation)
• Pneumonectomy (adverse effects)
• Surgical Flaps
• Treatment Outcome