Abstract
Formal resectional surgery for benign and malignant diseases of the lungs was one of the last frontiers to be explored and mastered within the broad specialty of surgery. This was the result of the unique physiological properties of the pleural space and the mechanics of respiration. Additional obstacles included the requirement for refined anesthesia, surgical techniques and equipment in order to allow successful control of the airway and vasculature. Despite impressive and ongoing improvement in operative technique, anesthetic management, patient selection and perioperative care, the complexities unique to the airway, pleural space and rigid chest wall continue to make pulmonary resection a challenging undertaking. Post-resection bronchopleural fistula and post-resection empyema, while relatively uncommon, remain perhaps the most morbid and difficult complications encountered in thoracic surgery. Understanding of and adherence to basic principles of management as well as the thoughtful application of innovative therapies have resulted in improved outcomes when these dreaded complications occur.
Keywords: Bronchopleural fistula, empyema, lobectomy, pneumonectomy, thoracic surgery complications, Lung Resection, pleural space, Post-resection, anesthetic management, BPF.
Current Respiratory Medicine Reviews
Title:Empyema and Bronchopleural Fistula Following Lung Resection
Volume: 8 Issue: 4
Author(s): Alan A. Simeone
Affiliation:
Keywords: Bronchopleural fistula, empyema, lobectomy, pneumonectomy, thoracic surgery complications, Lung Resection, pleural space, Post-resection, anesthetic management, BPF.
Abstract: Formal resectional surgery for benign and malignant diseases of the lungs was one of the last frontiers to be explored and mastered within the broad specialty of surgery. This was the result of the unique physiological properties of the pleural space and the mechanics of respiration. Additional obstacles included the requirement for refined anesthesia, surgical techniques and equipment in order to allow successful control of the airway and vasculature. Despite impressive and ongoing improvement in operative technique, anesthetic management, patient selection and perioperative care, the complexities unique to the airway, pleural space and rigid chest wall continue to make pulmonary resection a challenging undertaking. Post-resection bronchopleural fistula and post-resection empyema, while relatively uncommon, remain perhaps the most morbid and difficult complications encountered in thoracic surgery. Understanding of and adherence to basic principles of management as well as the thoughtful application of innovative therapies have resulted in improved outcomes when these dreaded complications occur.
Export Options
About this article
Cite this article as:
A. Simeone Alan, Empyema and Bronchopleural Fistula Following Lung Resection, Current Respiratory Medicine Reviews 2012; 8 (4) . https://dx.doi.org/10.2174/157339812802652152
DOI https://dx.doi.org/10.2174/157339812802652152 |
Print ISSN 1573-398X |
Publisher Name Bentham Science Publisher |
Online ISSN 1875-6387 |
Call for Papers in Thematic Issues
Exposure to PM2.5 components is associated with respiratory diseases
Through continuous research on the relationship between risk factors and health, it has been found that air pollution, especially atmospheric particulate matter pollution, has become one of the main sources of global disease burden. From 1990 to 2022, the concentration of atmospheric particulate matter pollution has increased by more than ...read more
- Author Guidelines
- Graphical Abstracts
- Fabricating and Stating False Information
- Research Misconduct
- Post Publication Discussions and Corrections
- Publishing Ethics and Rectitude
- Increase Visibility of Your Article
- Archiving Policies
- Peer Review Workflow
- Order Your Article Before Print
- Promote Your Article
- Manuscript Transfer Facility
- Editorial Policies
- Allegations from Whistleblowers
Related Articles
-
Statin Use in Aortic Aneurismal Disease to Prevent Progression and Cardiovascular Events: Review of Experimental and Clinical Data
Current Vascular Pharmacology The Ignored Role of Intraoperative Hypotension in Producing Postoperative Acute Kidney Injury-An Obligatory Appeal for More Preventative Nephrology
Current Hypertension Reviews Oxidative Stress in the ICU
Current Nutrition & Food Science The Renin-Angiotensin System and the Cerebrovascular Diseases: Experimental and Clinical Evidence
Protein & Peptide Letters Role, Function and Therapeutic Potential of microRNAs in Vascular Aging
Current Vascular Pharmacology Significance of Hemodynamics Biomarkers, Tissue Biomechanics and Numerical Simulations in the Pathogenesis of Ascending Thoracic Aortic Aneurysms
Current Pharmaceutical Design Molecular Genetics of Abdominal Aortic Aneurysm: Therapeutic Implications
Current Pharmacogenomics and Personalized Medicine Pericyte: Potential Target for Hemorrhagic Stroke Prevention and Treatment
Current Drug Delivery Repair of Dilated Aortic Root and Sinotubular Junction Using a Stabilizer Ring
Recent Patents on Cardiovascular Drug Discovery Modern drug delivery systems for targeting the posterior segment of the eye
Current Pharmaceutical Design Acute Stroke Therapy: Combination Drugs and Multifunctional Neuroprotectants
Current Neuropharmacology Encountering and Advancing Through Antiangiogenesis Therapy for Gliomas
Current Pharmaceutical Design Reacting to Stress: Radical Cellular Pathways for Novel Drug Development
Current Neurovascular Research Coronary Artery Ectasia-A Review of Current Literature
Current Cardiology Reviews Coarctation of the Aorta - An Evolution of Therapeutic Options
Current Cardiology Reviews Protein/Polyphenol Interactions: Past and Present Contributions. Mechanisms of Astringency Perception
Current Organic Chemistry The TLR9 Antagonist iCpG-ODN at Different Dosages Inhibits Cerebral Ischemia/Reperfusion Injury in Mice
CNS & Neurological Disorders - Drug Targets Prospective for Diagnosis and Treatment of Diabetic Retinopathy
Current Pharmaceutical Design Diverse Functions and Mechanisms of Pericytes in Ischemic Stroke
Current Neuropharmacology CYP Epoxygenase Derived EETs: From Cardiovascular Protection to Human Cancer Therapy
Current Topics in Medicinal Chemistry