Radical extrapleural pneumonectomy with bronchial fistula by pulmonary function test evaluation technique

Area of Science:

• Pulmonology
• Thoracic Surgery
• Oncology

Background:

• Pulmonary Function Tests (PFTS) are crucial for assessing lung diseases and pre-operative readiness.
• A 54-year-old male presented with epithelioid mesothelioma and a refractory bronchial fistula following prior pleurisy treatment.

Observation:

• The patient exhibited pneumothorax and decreased lung capacity, necessitating further investigation.
• A novel PFTS Evaluation Technique was employed, involving chest tube placement for 4 weeks with measurements taken in both open and clamped states.

Findings:

• Epithelioid mesothelioma (stage 1) and a refractory fistula were diagnosed.
• The PFTS Evaluation Technique provided critical data for surgical candidacy and planning.

Implications:

• The PFTS Evaluation Technique facilitated the decision for radical extrapleural pneumonectomy.
• Successful surgical intervention led to patient discharge with a resolved fistula and good general condition.