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Updated: Feb 14, 2026
Cone Beam Intraoperative Computed Tomography-based Image Guidance for Minimally Invasive Transforaminal Interbody Fusion
Published on: August 6, 2019
Endoscopic bronchial occlusion for postoperative persistent bronchopleural fistula with computed tomography
Masahiro Yanagiya1, Jun Matsumoto, Masaaki Nagano
1Department of General Thoracic Surgery, NTT Medical Center Tokyo Department of Thoracic Surgery, The University of Tokyo Graduate School of Medicine Department of Radiology Division of Respirology, NTT Medical Center Tokyo, Tokyo, Japan.
Rationale:
The development of postoperative bronchopleural fistula (BPF) remains a challenge in thoracic surgery. We herein report a case of BPF successfully treated with endoscopic bronchial occlusion under computed tomography (CT) fluoroscopy and virtual bronchoscopic navigation (VBN).
Patient Concerns:
A 63-year-old man underwent right upper lobectomy with concomitant S6a subsegmentectomy for lung adenocarcinoma. On postoperative day 24, he complained of shaking chills with high fever.
Diagnoses:
BPF with subsequent pneumonia and empyema.
Interventions:
Despite aggressive surgical interventions for the BPF, air leakage persisted postoperatively. On days 26 and 34 after the final operation, endobronchial occlusions were performed under CT fluoroscopy and VBN.
Outcomes:
The air leaks greatly decreased and the patient was discharged.
Lessons:
CT fluoroscopy and VBN can be useful techniques for endobronchial occlusion in the treatment of BPF.
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