{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T20:57:23Z","timestamp":1761512243757,"version":"3.40.4"},"reference-count":14,"publisher":"S. Karger AG","issue":"4","license":[{"start":{"date-parts":[[2006,1,1]],"date-time":"2006-01-01T00:00:00Z","timestamp":1136073600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2006,1,1]],"date-time":"2006-01-01T00:00:00Z","timestamp":1136073600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Respiration"],"published-print":{"date-parts":[[2006]]},"abstract":"<jats:p>&lt;i&gt;Background:&lt;\/i&gt; Late postpneumonectomy bronchopleural fistula (LBPF) is a serious complication. Surgical repair of the bronchial stump through a lateral thoracotomy is a dangerous attempt due to mediastinal fibrothorax and the risk of pulmonary artery stump damage. &lt;i&gt;Objectives:&lt;\/i&gt; The goal of this study was to estimate the effectiveness of the transsternal, transpericardial approach for bronchial stump repair in case of LBPF. &lt;i&gt;Methods:&lt;\/i&gt; From 1996 to 2002, 1,294 lung resections for non-small cell lung cancer were performed at our department. Out of 412 pneumonectomies, 16 patients (3.8%) presented with LBPF after right pneumonectomy for non-small cell lung cancer. Thirteen of these patients were subjected to transsternal, transpericardial bronchial stump repair. They were followed postoperatively, and morbidity and mortality rates were recorded. &lt;i&gt;Results:&lt;\/i&gt; The interval between pneumonectomy and fistula diagnosis lasted from 12 to 85 months. The estimated sizes of the fistulae ranged from 5 to 21 mm, and the length of the bronchial stump was &gt;1 cm only in 2 patients (15.3%).Due to persistent empyema, open-window thoracostomy was performed for definite treatment immediately after the operation for bronchial stump reamputation in 6 cases (46.1%). One patient (7.6%) died 3 months postoperatively due to bronchopleural fistula recurrence. This was also the only case of fistula recurrence. &lt;i&gt;Conclusion:&lt;\/i&gt; LBPF usually needs definite management to save the patient\u2019s life. The transsternal, transpericardial approach is a safe and effective method.<\/jats:p>","DOI":"10.1159\/000093370","type":"journal-article","created":{"date-parts":[[2006,5,17]],"date-time":"2006-05-17T14:32:50Z","timestamp":1147876370000},"page":"525-528","source":"Crossref","is-referenced-by-count":12,"title":["Surgical Management of Late Postpneumonectomy Bronchopleural Fistula: The Transsternal, Transpericardial Route"],"prefix":"10.1159","volume":"73","author":[{"given":"P.","family":"Misthos","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Kakaris","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"Sepsas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"Athanassiadi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I.","family":"Skottis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2006,7,5]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016%2FS1010-7940%2899%2900089-5"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016%2FS0003-4975%2801%2902681-9"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016%2FS0003-4975%2897%2900409-8"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016%2F0003-4975%2889%2990276-2"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016%2FS1010-7940%2899%2900290-0"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016%2FS0022-5223%2899%2970245-X"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016%2FS0003-4975%2801%2903096-X"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1016%2Fj.athoracsur.2004.07.009"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016%2Fj.athoracsur.2004.01.003"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1080%2F14017439950141812"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016%2FS0003-4975%2897%2900797-2"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016%2FS0003-4975%2899%2901355-7"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1159%2F000050580"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1016%2FS1010-7940%2896%2980128-X"}],"container-title":["Respiration"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/93370","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/93370","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T03:12:00Z","timestamp":1745464320000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000093370"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006]]},"references-count":14,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2006,6,1]]}},"URL":"https:\/\/doi.org\/10.1159\/000093370","archive":["Portico"],"relation":{},"ISSN":["0025-7931","1423-0356"],"issn-type":[{"type":"print","value":"0025-7931"},{"type":"electronic","value":"1423-0356"}],"subject":[],"published":{"date-parts":[[2006]]}}}