• Ann. Thorac. Surg. · Dec 2004

    Case Reports

    Video-assisted bronchial stump reinforcement with an intercostal muscle flap.

    • Motoyasu Sagawa, Makoto Sugita, Yuji Takeda, Hirohisa Toga, and Tsutomu Sakuma.
    • Department of Thoracic Surgery, Kanazawa Medical University, Ishikawa, Japan. sagawam@kanazawa-med.ac.jp
    • Ann. Thorac. Surg. 2004 Dec 1; 78 (6): 2165-6.

    AbstractFor lobectomy patients at considerable risk of developing a postoperative bronchopleural fistula, the bronchial stump reinforcement with an intercostal muscle flap is sometimes performed. This procedure usually requires a standard thoracotomy, even if video-assisted thoracoscopic surgery (VATS) is better for the patient. Our patient was a 76-year-old male with lung cancer and severe diabetes mellitus. He underwent lobectomy and systematic nodal dissection combined with bronchial stump reinforcement using an intercostal muscle flap, performed as a VATS procedure. No postoperative complications were observed. This procedure is applicable to patients who are candidates for VATS lobectomy.

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