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Updated: May 28, 2025

Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma

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Published on: November 4, 2010

Multiple bronchopleural fistulas resolved with combination stent therapy.

Aga Jimu¹, Xiuli Liu¹, Yingqi Fan¹

¹Department of Respiratory and Critical Care Medicine, Yantai Yuhuangding Hospital, Yantai, China.

Annals of Thoracic Medicine

|February 10, 2025

Summary

Bronchopleural fistula (BPF) is a severe complication after lung surgery. A multimodal approach including bronchial stents successfully treated BPF and lung cancer, improving survival.

Keywords:

Bronchopleural fistula endoscopic intervention lung cancer tracheal bronchial stents

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Vessel-sparing Excision and Primary Anastomosis

Vessel-sparing Excision and Primary Anastomosis

Published on: January 7, 2019

Area of Science:

Thoracic Surgery
Pulmonology
Oncology

Background:

Bronchopleural fistula (BPF) is a rare but serious complication after lobectomy.
No standardized treatment protocol exists for BPF.
Lung cancer patients with chronic obstructive pulmonary disease face increased surgical risks.

Observation:

A 65-year-old male with COPD developed multiple BPFs after right lower lobe lobectomy for lung cancer.
The patient also had tumor recurrence and metastasis.

Findings:

A comprehensive management strategy was implemented, including infection control, chest drainage, antitumor therapy, and bronchial stent deployment.
This integrated approach successfully resolved the bronchopleural fistulas.
Complete response of the lung cancer was achieved, with progression-free survival exceeding 3 years.

Implications:

This case highlights the efficacy of a multimodal treatment strategy for complex BPF cases post-lobectomy.
The successful management of BPF and concurrent lung cancer suggests potential for improved outcomes in challenging patient populations.
Targeted bronchial stent placement can be a valuable tool in managing BPF and associated thoracic malignancies.