{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T19:16:59Z","timestamp":1777576619092,"version":"3.51.4"},"reference-count":16,"publisher":"SAGE Publications","issue":"2-3","license":[{"start":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T00:00:00Z","timestamp":1740787200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Asian Cardiovasc Thorac Ann"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Benign broncho-esophageal fistula (BEF) is a rare condition that often results from infections, trauma, or prior surgical interventions. This study evaluates the outcomes of surgical management of BEF, emphasizing the role of video-assisted thoracoscopic surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective analysis of 19 patients who underwent surgical management for benign BEF was conducted. Patient demographics, fistula characteristics, surgical approach, perioperative outcomes, and complications were assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The cohort comprised 14 males (73.7%) and 5 females (26.3%) with a median age of 34 years (range: 19\u201363 years). The left main bronchus was the most common fistula location (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200910, 52.6%) followed by right lower lobe (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20096, 31.6%), left lower lobe (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20092, 10.5%), and right bronchus intermedius (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091, 5.3%). A prior history of antitubercular treatment was noted in 15 patients (79%). Video-assisted thoracic surgery was successfully performed in 17 patients (89.5%), while 2 (10.5%) required conversion to thoracotomy due to dense adhesions. During surgery, division of fistula alone was performed in 14 patients (73.7%). The distal lung destruction necessitated lobectomy in 3 patients (15.78%) and wedge resection in 2 patients (10.52%). The mean operative time was 120\u2005min, with a median hospital stay of 5.5 days. Two patients (10.5%) experienced complications, including a minimal esophageal leak managed with a stent and a case of postoperative pneumonia which resolved with conservative measures. No recurrences were observed during a median follow-up of 48 months.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Video-assisted thoracic surgery is a safe and effective approach for managing benign BEF, offering excellent long-term outcomes with minimal morbidity. Conversion to thoracotomy is required in select cases with dense adhesions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02184923251343326","type":"journal-article","created":{"date-parts":[[2025,5,21]],"date-time":"2025-05-21T19:33:25Z","timestamp":1747856005000},"page":"135-141","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Video-assisted thoracic surgery (VATS) in the surgical management of acquired benign broncho-esophageal fistula"],"prefix":"10.1177","volume":"33","author":[{"given":"Sukhram","family":"Bishnoi","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery, Institute of Chest Surgery, Medanta, Gurugram, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6868-1477","authenticated-orcid":false,"given":"Mohan Venkatesh","family":"Pulle","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Institute of Chest Surgery, Medanta, Gurugram, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harsh Vardhan","family":"Puri","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Institute of Chest Surgery, Medanta, Gurugram, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Belal Bin","family":"Asaf","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Institute of Chest Surgery, Medanta, Gurugram, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-3069-3825","authenticated-orcid":false,"given":"Sumit","family":"Bangeria","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Institute of Chest Surgery, Medanta, Gurugram, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anmol","family":"Bhan","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Dayanand Medical College, Ludhiana, Punjab, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anjali","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Institute of Chest Surgery, Medanta, Gurugram, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arvind","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Institute of Chest Surgery, Medanta, Gurugram, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,5,21]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2013-202560"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.vgie.2018.03.007"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13019-019-0902-2"},{"key":"e_1_3_2_5_2","first-page":"101634","article-title":"Bronchoesophageal fistula: an unusual manifestation of lung cancer","volume":"37","author":"Smith C","year":"2022","unstructured":"Smith C, Bannon M, Ashraf A, et al. 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