Work

Retrograde intrabronchial suturing of a latissimus dorsi flap for the surgical repair of bronchopleural fistula: a case report

Year: 2025

Type: article

Abstract: Bronchopleural fistula (BPF) is a rare but serious postoperative complication after lung surgery. While secondary procedures are often required, primary closure with autologous tissue may be feasible in selected cases. A 71-year-old man developed a large BPF after left upper lobectomy, associated with steroid-treated acute exacerbation of interstitial pneumonia. Computed tomography (CT) and bronchoscopy revealed complete bronchial stump dehiscence with a 10-mm defect. As no infection was present, elective surgery was performed 6 months later. Using bronchoscopic guidance, a pedicled latissimus dorsi muscle flap was retrogradely inserted and sutured into the bronchus. The postoperative course was uncomplicated, and CT and bronchoscopy at 3 and 6 months confirmed complete closure and healing. Retrograde bronchial filling using a latissimus dorsi flap with bronchoscopic assistance achieved successful closure of a large, non-infected chronic BPF and may be a useful option in selected patients.

Source: Journal of Surgical Case Reports

DOI: 10.1093/jscr/rjaf1057

Authors: Akifumi Nakamura, Nobuyuki Kondo, Masaki Hashimoto, Soichiro Funaki

Institution: Hyogo Medical University

Language: English

Topic: Pleural and Pulmonary Diseases

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,000