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Updated: Apr 16, 2026

Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
Published on: February 27, 2026
Bronchopleural fistula closed with cellulose patch and fibrin glue
Alfonso Fiorelli1, Elisabetta Frongillo1, Mario Santini2
1Thoracic Surgery Unit, Second University of Naples, Naples, Italy.
Abstract:
We describe a bronchoscopic technique for closing small postoperative bronchopleural fistulas, using an oxidized regenerated cellulose patch and fibrin glue. The patch is mounted on the end of endoscopic forceps and introduced into the fistula to cover it. Intracavitary and submucosal injections of fibrin glue fill the bronchial stump and achieve apposition of the fistula edges. Closure was obtained in 3 of 4 patients; the 4th had complete bronchial dehiscence and empyema.
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