Application of pedicled aortic adventitia flap in the reinforcement of bronchial stump or bronchial anastomotic stoma closure in left pulmonary resection

摘要

Bronchopleural fistula (BPF) is a critical complication following pulmonary resection. Preventive coverage with autologous tissue has been shown to decrease the incidence of BPF associated with bronchial stumps or anastomotic stomas. Here, we report on the use of a pedicled aortic adventitia flap in the prevention of BPF. To date there are no reports of this tissue being used as embedding material. Our prospective study included a consecutive series of 69 patients (56 male and 13 female) with a mean age of 58.52 ± 10.29 years (range, 13 to 74 years) who underwent left pulmonary resection between April 2007 and December 2011 at the Department of Thoracic Surgery at Tongji Hospital. All patients had coexisting factors exposing them to high risk of BPF. These included advanced age; exposure to neoadjuvant therapy; or the presence of obstructive pneumonia, diabetes mellitus, or malnutrition. Local risk factors were related to a poor blood supply.