{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,5]],"date-time":"2022-04-05T16:11:54Z","timestamp":1649175114902},"reference-count":12,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,7,29]],"date-time":"2020-07-29T00:00:00Z","timestamp":1595980800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,7,29]],"date-time":"2020-07-29T00:00:00Z","timestamp":1595980800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["surg case rep"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n<jats:title>Background<\/jats:title>\n<jats:p>Post-esophagectomy bronchopleural fistulas can be life-threatening in patients who are exhausted, for example, by surgical stress and pleural infection; therefore, establishment of a reliable surgical procedure is extremely important. We here report a novel procedure entailing muscle flap closure for bronchopleural fistula.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Case presentation<\/jats:title>\n<jats:p>A 64-year-old man developed a right bronchopleural fistula after esophagectomy. Because he was exhausted by surgical stress and malnourished, we considered reliable surgical closure of the fistula essential. Intraoperatively, it was found to connect with the membranous portion of the right main bronchus. We decided to close the fistula with a pedicled fourth and fifth intercostal muscle flap. After separating the intercostal muscles near the angle of the rib, we passed a muscle flap between the azygos vein and bronchus and sutured it securely to the fistula. The postoperative course was uneventful, and there was no thoracic infection. Postoperative bronchoscopy confirmed the muscle flap had securely closed the fistula.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Conclusions<\/jats:title>\n<jats:p>The route and suturing technique of the intercostal muscle flap to a fistula are important, especially in exhausted patients.<\/jats:p>\n<\/jats:sec>","DOI":"10.1186\/s40792-020-00908-8","type":"journal-article","created":{"date-parts":[[2020,7,29]],"date-time":"2020-07-29T08:07:53Z","timestamp":1596010073000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Novel technique to repair a bronchopleural fistula after esophagectomy using wide intercostal muscle flap fixed by azygos vein and bronchus: a case report"],"prefix":"10.1186","volume":"6","author":[{"given":"Yohei","family":"Honda","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akihiro","family":"Taira","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ayako","family":"Hirai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koji","family":"Kuroda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshinobu","family":"Ichiki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fumihiro","family":"Tanaka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,7,29]]},"reference":[{"key":"908_CR1","doi-asserted-by":"publisher","first-page":"3005","DOI":"10.21037\/jtd.2017.08.71","volume":"9","author":"DH Moon","year":"2017","unstructured":"Moon DH, Lee JM, Jeon JH, Yang HC, Kim MS. Clinical outcomes of video-assisted thoracoscopic surgery esophagectomy for esophageal cancer: a propensity score-matched analysis. J Thorac Dis. 2017;9:3005\u201312.","journal-title":"J Thorac Dis."},{"key":"908_CR2","doi-asserted-by":"publisher","first-page":"14","DOI":"10.21037\/shc.2017.06.01","volume":"1","author":"G Dal Agnol","year":"2017","unstructured":"Dal Agnol G, Vieira A, Oliveira R, Ugalde PA. Surgical approaches for bronchopleural fistula. Shanghai Chest. 2017;1:14.","journal-title":"Shanghai Chest."},{"key":"908_CR3","doi-asserted-by":"publisher","first-page":"1577","DOI":"10.21037\/jtd.2016.06.23","volume":"8","author":"R Mao","year":"2016","unstructured":"Mao R, Ying PQ, Xie D, Day CY, Zha JY, Chen T, et al. Conservative management of empyema-complicated post-lobectomy bronchopleural fistulas: experience of consecutive 13 cases in 9 years. J Thorac Dis. 2016;8:1577\u201386.","journal-title":"J Thorac Dis."},{"key":"908_CR4","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.ijscr.2016.11.025","volume":"33","author":"S Uchida","year":"2017","unstructured":"Uchida S, Igaki H, Izumo T, Tachimori Y. Effective treatment of empyema with bronchopleural fistula after esophagectomy by endobronchial embolization using endobronchial Watanabe Spigots. Int J Surg Case Rep. 2017;33:1\u20133.","journal-title":"Int J Surg Case Rep."},{"key":"908_CR5","doi-asserted-by":"publisher","first-page":"152","DOI":"10.4103\/0970-2113.152628","volume":"32","author":"VD Goyal","year":"2015","unstructured":"Goyal VD, Gupta B, Sharma S. Intercostal muscle flap for repair of bronchopleural fistula. Lung India. 2015;32:152\u20134.","journal-title":"Lung India."},{"key":"908_CR6","doi-asserted-by":"publisher","first-page":"366","DOI":"10.3389\/fonc.2019.00366","volume":"9","author":"DW Ma","year":"2019","unstructured":"Ma DW, Cho Y, Jeon MJ, Kim JH, Lee IJ, Youn YH, et al. Relationship between sarcopenia and prognosis in patient with concurrent chemo-radiation therapy for esophageal cancer. Front Oncol. 2019;9:366.","journal-title":"Front Oncol."},{"key":"908_CR7","first-page":"97","volume":"52","author":"P Sarkar","year":"2010","unstructured":"Sarkar P, Chandak T, Shah R, Talwar A. Diagnosis and management bronchopleural fistula. Indian J Chest Dis Allied Sci. 2010;52:97\u2013104.","journal-title":"Indian J Chest Dis Allied Sci."},{"key":"908_CR8","doi-asserted-by":"publisher","first-page":"1281","DOI":"10.1016\/j.athoracsur.2015.09.095","volume":"101","author":"S Sihaq","year":"2016","unstructured":"Sihaq S, Kosinski AS, Gaissert HA, Wright CD, Schipper PH. Minimally invasive versus open esophagectomy for esophageal cancer: a comparison of early surgical outcomes from the Society of Thoracic Surgeons National Database. Ann Thorac Surg. 2016;101:1281\u20139.","journal-title":"Ann Thorac Surg."},{"key":"908_CR9","doi-asserted-by":"publisher","first-page":"S645","DOI":"10.21037\/jtd.2018.11.33","volume":"11","author":"E Steenhagen","year":"2019","unstructured":"Steenhagen E. Preoperative nutritional optimization of esophageal cancer patients. J Thorac Dis. 2019;11:S645\u201353.","journal-title":"J Thorac Dis."},{"key":"908_CR10","doi-asserted-by":"publisher","first-page":"138","DOI":"10.5090\/kjtcs.2016.49.2.138","volume":"49","author":"D Noh","year":"2016","unstructured":"Noh D, Park CK. The management of delayed post-pneumonectomy broncho-pleural fistula and esophago-pleural fistula. Korean J Thorac Cardiovasc Surg. 2016;49:138\u201340.","journal-title":"Korean J Thorac Cardiovasc Surg."},{"key":"908_CR11","first-page":"186","volume":"38","author":"Abrashanoff","year":"1911","unstructured":"Abrashanoff. Plastische methode zzur schlieszung von fistelgangen wekhe von inneren organen kommen. Zentralbl Chir. 1911;38:186.","journal-title":"Zentralbl Chir"},{"key":"908_CR12","first-page":"1211","volume":"52","author":"A Fricke","year":"2017","unstructured":"Fricke A, Bannasch H, Klein HF, Wiesemann S, Samson-Himmelstjerna P, Passlick B, et al. Pedicled and free flaps for intrathoracic fistula management. Eur J Cardiothorac Surg. 2017;52:1211\u20137.","journal-title":"Eur J Cardiothorac Surg."}],"container-title":["Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-020-00908-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40792-020-00908-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-020-00908-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,7,28]],"date-time":"2021-07-28T23:06:31Z","timestamp":1627513591000},"score":1,"resource":{"primary":{"URL":"https:\/\/surgicalcasereports.springeropen.com\/articles\/10.1186\/s40792-020-00908-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7,29]]},"references-count":12,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["908"],"URL":"https:\/\/doi.org\/10.1186\/s40792-020-00908-8","relation":{},"ISSN":["2198-7793"],"issn-type":[{"value":"2198-7793","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,7,29]]},"assertion":[{"value":"11 May 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 June 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 July 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Not applicable.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Consent for publication has been obtained from the patient presented in this report.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"183"}}