359741

Management of bronchial dehiscence immediately following video-assisted thoracoscopic lobectomy

Article

Last updated: 05 Jan 2025

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Abstract

Bronchial dehiscence is a rare complication following lung surgery. It might be life threatening if not diagnosed and treated immediately and appropriately. This case report high-lights an immediate presentation of bronchial dehiscence in a patient after video assisted thoracoscopic lobectomy. The complication was managed initially with an emergency insertion of single lumen tube which was swapped later on to double lumen tube for a better control of the ventilation. Ventilation improved when the single lumen tube was exchanged for a double lumen tube and the patient was taken back to the Operating theatre for repair and suturing of bronchial stump. In conclusion, leakage testing inside the operating room must be given full attention and should warrant a thorough revision and reassessment of all the stumps by the surgeons, but exclusion of the leak intraoperatively does not guarantee prevention of its occurence postoperatively. Dislodgement of staples can happen and leads to deleterious effects if not treated promptly. Respiratory distress, arterial hypoxia and chest drain bubbling immediately after lung surgery should be managed with fiberoptic bronchoscopy followed by immediate intubation with double lumen tube and exclusion of the operated lung.

DOI

10.4103/1687-9090.153414

Keywords

bronchopleural, Fistula, lobectomy, Management, Video-assisted thoracoscopic surgery

Authors

First Name

Mostafa

Last Name

Eladawy

MiddleName

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Affiliation

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Email

mostafaeladawy.an@yahoo.com

City

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Orcid

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First Name

Leena

Last Name

Pardeshi

MiddleName

-

Affiliation

-

Email

-

City

-

Orcid

-

Volume

8

Article Issue

3

Related Issue

48402

Issue Date

2014-09-01

Receive Date

2014-10-30

Publish Date

2014-09-01

Print ISSN

1687-9090

Online ISSN

2090-326X

Link

https://ejca.journals.ekb.eg/article_359741.html

Detail API

https://ejca.journals.ekb.eg/service?article_code=359741

Order

359,741

Publication Type

Journal

Publication Title

The Egyptian Journal of Cardiothoracic Anesthesia

Publication Link

https://ejca.journals.ekb.eg/

MainTitle

Management of bronchial dehiscence immediately following video-assisted thoracoscopic lobectomy

Details

Type

Article

Created At

20 Dec 2024