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11:17
Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
Published on: February 27, 2026
Arteriobronchial fistula complicating right upper lobectomy
Tomasz Marjanski1, Adam Sternau1, Robert Dziedzic1
1Thoracic Surgery Department, Medical University of Gdansk, Gdansk, Poland.
The Annals of Thoracic Surgery
|October 4, 2013
Summary
A rare late bronchial stump fistula (BSF) after lung cancer surgery caused fatal hemorrhage. Preventative pulmonary artery embolization or pneumonectomy could have potentially avoided this outcome.
Area of Science:
- Thoracic surgery
- Pulmonary medicine
- Surgical complications
Background:
- Bronchial stump fistula (BSF) is a recognized complication following lobectomy.
- Its incidence after non-small cell lung cancer resection is typically low, not exceeding 2%.
Observation:
- A patient developed a late BSF four weeks post-right upper lobectomy.
- This complication led to a fatal pulmonary hemorrhage four hours after emergency readmission.
Findings:
- The fatal pulmonary hemorrhage might have been preventable with interventions like pulmonary artery embolization or intrapericardial pneumonectomy.
- Prophylactic pneumonectomy, even without overt symptoms, presented a complex clinical decision due to potential over-treatment.
Implications:
- This case highlights the critical need for vigilance regarding late BSF development after lung cancer surgery.
- It underscores the challenging balance between aggressive preventative measures and avoiding unnecessary interventions in thoracic surgery.
Keywords:
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