Matches in SemOpenAlex for { <https://semopenalex.org/work/W5019911> ?p ?o ?g. }
Showing items 1 to 83 of
83
with 100 items per page.
- W5019911 endingPage "817" @default.
- W5019911 startingPage "813" @default.
- W5019911 abstract "Breakdown of the closure of the main-stem bronchus after pneumonectomy is a dreaded complication, and empyema and bronchopleural fistula frequently develop in patients who survive. Management of these fistulas remains a formidable therapeutic challenge, which has been approached with a variety of surgical techniques. We report our experience with anterior transpericardial closure, emphasizing the ability to expose either main-stem bronchus by this approach. The case histories of three patients who had bronchopleural fistula after pneumonectomy are presented. The first patient had left penumonectomy for complicated tuberculosis; the second had right pneumonectomy for neoplasm; and the third had right pneumonectomy for trauma. All fistulas were treated surgically via a median sternotomy and transpericardial approach to the distal trachea. The posterior pericardium was divided between the superior vena cava and aorta. In-continuity staple closure (with two lines of staples) of the proximal main-stem bronchus was employed in all cases. Two patients remain clinically well 21 and 17 months after the operation. The third patients did well initially but developed a recurrent bronchopleural fistula 2½ months after the operation and has required repeat closure with pedicled muscle flaps. In postpneumonectomy bronchopleural fistula, the anterior, transpericardial approach to bronchial closure has several advantages: the relatively well-tolerated median sternotomy, the avoidance of dealing directly with areas of postoperative scarring and the devascularized bronchial stump, the avoidance of areas of chronic sepsis, and the avoidance of thoracoplastic surgical deformity of the chest wall, with possible associated compromise in pulmonary function. Our experience also indicates that either main-stem bronchus is accessible through an approach between the superior vena cava and aorta, without division of either pulmonary artery." @default.
- W5019911 created "2016-06-24" @default.
- W5019911 creator A5066815103 @default.
- W5019911 creator A5085026436 @default.
- W5019911 date "1985-12-01" @default.
- W5019911 modified "2023-09-27" @default.
- W5019911 title "Treatment of bronchopleural fistula after pneumonectomy" @default.
- W5019911 cites W1986631168 @default.
- W5019911 cites W2022074956 @default.
- W5019911 cites W2048128441 @default.
- W5019911 cites W2143580399 @default.
- W5019911 cites W2146232980 @default.
- W5019911 cites W2155578714 @default.
- W5019911 cites W2398843250 @default.
- W5019911 cites W2411321610 @default.
- W5019911 cites W2411404938 @default.
- W5019911 cites W4294561347 @default.
- W5019911 cites W4321060731 @default.
- W5019911 cites W65471843 @default.
- W5019911 doi "https://doi.org/10.1016/s0022-5223(19)38505-8" @default.
- W5019911 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/4068731" @default.
- W5019911 hasPublicationYear "1985" @default.
- W5019911 type Work @default.
- W5019911 sameAs 5019911 @default.
- W5019911 citedByCount "63" @default.
- W5019911 countsByYear W50199112012 @default.
- W5019911 countsByYear W50199112013 @default.
- W5019911 countsByYear W50199112015 @default.
- W5019911 countsByYear W50199112018 @default.
- W5019911 countsByYear W50199112020 @default.
- W5019911 countsByYear W50199112022 @default.
- W5019911 crossrefType "journal-article" @default.
- W5019911 hasAuthorship W5019911A5066815103 @default.
- W5019911 hasAuthorship W5019911A5085026436 @default.
- W5019911 hasBestOaLocation W50199111 @default.
- W5019911 hasConcept C126322002 @default.
- W5019911 hasConcept C141071460 @default.
- W5019911 hasConcept C2776178081 @default.
- W5019911 hasConcept C2776341189 @default.
- W5019911 hasConcept C2777589429 @default.
- W5019911 hasConcept C2777714996 @default.
- W5019911 hasConcept C2777799383 @default.
- W5019911 hasConcept C2778594041 @default.
- W5019911 hasConcept C2779526774 @default.
- W5019911 hasConcept C2780314925 @default.
- W5019911 hasConcept C2908767450 @default.
- W5019911 hasConcept C2909399824 @default.
- W5019911 hasConcept C71924100 @default.
- W5019911 hasConceptScore W5019911C126322002 @default.
- W5019911 hasConceptScore W5019911C141071460 @default.
- W5019911 hasConceptScore W5019911C2776178081 @default.
- W5019911 hasConceptScore W5019911C2776341189 @default.
- W5019911 hasConceptScore W5019911C2777589429 @default.
- W5019911 hasConceptScore W5019911C2777714996 @default.
- W5019911 hasConceptScore W5019911C2777799383 @default.
- W5019911 hasConceptScore W5019911C2778594041 @default.
- W5019911 hasConceptScore W5019911C2779526774 @default.
- W5019911 hasConceptScore W5019911C2780314925 @default.
- W5019911 hasConceptScore W5019911C2908767450 @default.
- W5019911 hasConceptScore W5019911C2909399824 @default.
- W5019911 hasConceptScore W5019911C71924100 @default.
- W5019911 hasIssue "6" @default.
- W5019911 hasLocation W50199111 @default.
- W5019911 hasLocation W50199112 @default.
- W5019911 hasOpenAccess W5019911 @default.
- W5019911 hasPrimaryLocation W50199111 @default.
- W5019911 hasRelatedWork W2050963733 @default.
- W5019911 hasRelatedWork W2084513218 @default.
- W5019911 hasRelatedWork W2329245504 @default.
- W5019911 hasRelatedWork W2348941137 @default.
- W5019911 hasRelatedWork W2402740878 @default.
- W5019911 hasRelatedWork W2406524764 @default.
- W5019911 hasRelatedWork W2437042671 @default.
- W5019911 hasRelatedWork W3029731736 @default.
- W5019911 hasRelatedWork W3046176708 @default.
- W5019911 hasRelatedWork W5019911 @default.
- W5019911 hasVolume "90" @default.
- W5019911 isParatext "false" @default.
- W5019911 isRetracted "false" @default.
- W5019911 magId "5019911" @default.
- W5019911 workType "article" @default.