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THE JOURNAL OF CARDIOVASCULAR SURGERY

A Journal on Cardiac, Vascular and Thoracic Surgery


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The Journal of Cardiovascular Surgery 1998 October;39(5):695-6

language: English

Omentopexy for empye­ma due to ­lung fis­tu­la fol­low­ing lobec­to­my. A ­case ­report

Non­ami Y., Ogo­shi Sh.

From the Department of Surgery II Kochi Medical School Kochi, Japan


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A ­case of sus­tained ­lung fis­tu­la ­after ­lung sur­gery is report­ed ­here. This ­case of a sus­tained pul­mo­nary fis­tu­la was diag­nosed by sus­tained air ­leak ­through the ­chest ­drain and a pos­i­tive cul­ture of the drain­age ­fluid. The ­third re-op­er­a­tion was per­formed suc­cess­ful­ly by omen­top­exy via ­median ster­not­o­my. Careful post­op­er­a­tive obser­va­tion ­with ­chest radiog­ra­phy, bron­chi­al fibers­co­py, and deter­min­ing wheth­er infec­tion is ­present in the drain­age ­fluid are impor­tant for pre­cise diag­no­sis and ther­a­py for com­pli­ca­tions fol­low­ing pul­mo­nary lobec­to­my.

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