Bronchial fistula management. Is the exit found?

Motus I.Ia.; Bazhenov A.V.; Tsvirenko A.S.; Basyrov R.T.; Kholny P.M.; Kardapol'tsev L.V.; Pechnikov P.P.

doi:https://doi.org/10.17116/hirurgia20183233-38

Motus I.Ia.

FGBU Ural'skiĭ NII ftiziopul'monologii Minzdrava Rossii;
Kafedra khirurgii FPK i PP Ural'skoĭ Gosudarstvennoĭ meditsinskoĭ akademii;
GBUZ SO Protivotuberkuleznyĭ dispanser, Ekaterinburg

Bazhenov A.V.

FGBU Ural'skiĭ NII ftiziopul'monologii Minzdrava Rossii

Tsvirenko A.S.

Ural Research Institute of Phthisiopulmonology of Healthcare Ministry of Russia

Basyrov R.T.

Ural Research Institute of Phthisiopulmonology of Healthcare Ministry of Russia

Kholny P.M.

Ural Research Institute of Phthisiopulmonology of Healthcare Ministry of Russia

Kardapol'tsev L.V.

GBUZ SO "Sverdlovskaia oblastnaia klinicheskaia bol'nitsa #1";
Institut immunologii i fiziologii UrO RAN;
GBOU VPO "Ural'skaia gosudarstvennaia meditsinskaia akademiia", Ekaterinburg

Pechnikov P.P.

Ural Research Institute of Phthisiopulmonology of Healthcare Ministry of Russia

Bronchial fistula management. Is the exit found?

Authors:

Motus I.Ia., Bazhenov A.V., Tsvirenko A.S., Basyrov R.T., Kholny P.M., Kardapol'tsev L.V., Pechnikov P.P.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2018;(3): 33‑38

DOI: 10.17116/hirurgia20183233-38

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To cite this article:

Motus IIa, Bazhenov AV, Tsvirenko AS, Basyrov RT, Kholny PM, Kardapol'tsev LV, Pechnikov PP. Bronchial fistula management. Is the exit found? Pirogov Russian Journal of Surgery. 2018;(3):33‑38. (In Russ.)
https://doi.org/10.17116/hirurgia20183233-38

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

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Abstract:

Aim. To present treatment of bronchial fistulas by using of occluders. Material and methods. For the period from March 2015 to October 2016 Atrial Septal Defect (ASD) occluders have been used for bronchial fistulas occlusion (Lepu Medical Technology Co., Ltd.; Lifetech Scientific Co., Ltd.). These are devices designed to close ventricular and atrial septal defects. The procedure was performed in 8 patients with main bronchus fistula occurred after pulmonectomy for tuberculosis in 5 patients and lung cancer in 3 patients. Fistulas’ dimensions were 6—26 mm. The procedure was performed with double visualization from pleural cavity (through the thoracostomy and port-assisted approach) and from bronchial lumen. Results. Seven out of 8 patients are currently alive (1 patient died from advanced tuberculosis of single lung). Occlusion is adequate in 6 patients, air drainage around around the occluder is noted in 1 patient. In 1 patient esophageal-pleural fistula occurred besides bronchial fistula. There was significant 2—3-fold decrease of residual pleural cavities volume and output volume. Patients feel satisfactory.

Keywords:

bronchial fistula

occluders

treatment

Authors:

Motus I.Ia.

FGBU Ural'skiĭ NII ftiziopul'monologii Minzdrava Rossii;
Kafedra khirurgii FPK i PP Ural'skoĭ Gosudarstvennoĭ meditsinskoĭ akademii;
GBUZ SO Protivotuberkuleznyĭ dispanser, Ekaterinburg

Bazhenov A.V.

FGBU Ural'skiĭ NII ftiziopul'monologii Minzdrava Rossii

Tsvirenko A.S.

Ural Research Institute of Phthisiopulmonology of Healthcare Ministry of Russia

Basyrov R.T.

Ural Research Institute of Phthisiopulmonology of Healthcare Ministry of Russia

Kholny P.M.

Ural Research Institute of Phthisiopulmonology of Healthcare Ministry of Russia

Kardapol'tsev L.V.

GBUZ SO "Sverdlovskaia oblastnaia klinicheskaia bol'nitsa #1";
Institut immunologii i fiziologii UrO RAN;
GBOU VPO "Ural'skaia gosudarstvennaia meditsinskaia akademiia", Ekaterinburg

Pechnikov P.P.

Ural Research Institute of Phthisiopulmonology of Healthcare Ministry of Russia

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References:

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