{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T21:54:01Z","timestamp":1740174841226,"version":"3.37.3"},"reference-count":8,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,3,2]],"date-time":"2021-03-02T00:00:00Z","timestamp":1614643200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,3,2]],"date-time":"2021-03-02T00:00:00Z","timestamp":1614643200000},"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":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Bronchopleural fistula, which usually accompanies bronchial fistula and empyema, is a severe complication of lung cancer surgery. Negative-pressure wound therapy can enhance drainage and reduce the empyema cavity, potentially leading to early recovery. This therapy is not currently indicated for bronchopleural fistulas because of the risk of insufficient respiration due to air loss from the fistula.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A 73-year-old man, who was malnourished because of peritoneal dialysis, was referred to our hospital for the treatment of lung cancer. Right lower lobectomy with mediastinal lymph node dissection was performed via posterolateral thoracotomy, and the bronchial stump was covered with the intercostal muscle flap. His postoperative course was uneventful and he was discharged. However, he was readmitted to our hospital because of respiratory failure and diagnosed as having bronchopleural fistula on the basis of the bronchoscopic finding of a 10-mm hole at the membranous portion of the inlet of the remnant lower lobe bronchus. Thus, thoracotomy debridement and open window thoracostomy were immediately performed. After achieving infection control, bronchial occlusion was performed using fibrin glue and a polyglycolic acid sheet was inserted through a fenestrated wound. Bronchial fistula closure was observed on bronchoscopy; therefore, a negative-pressure wound therapy system was applied to close the fenestrated wound. The collapsed lung was re-expanded and the granulation tissue around the wound increased; therefore, thoracic cavity size decreased and thoracoplasty using the latissimus dorsi was performed.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>This bronchopleural fistula was treated successfully after a right lower lobectomy using an extra-pleural bronchial occlusion and negative-pressure wound therapy.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40792-021-01144-4","type":"journal-article","created":{"date-parts":[[2021,3,2]],"date-time":"2021-03-02T13:02:50Z","timestamp":1614690170000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Negative-pressure wound therapy in combination with bronchial occlusion to treat bronchopleural fistula: a case report"],"prefix":"10.1186","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1920-089X","authenticated-orcid":false,"given":"Masashi","family":"Iwasaki","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masanori","family":"Shimomura","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tsunehiro","family":"Ii","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,3,2]]},"reference":[{"key":"1144_CR1","doi-asserted-by":"publisher","first-page":"297","DOI":"10.1007\/s11748-018-1022-y","volume":"67","author":"S Endo","year":"2019","unstructured":"Endo S, Ikeda N, Kondo T, Nakajima J, Kondo H, Shimada Y, et al. Risk assessments for broncho-pleural fistula and respiratory failure after lung cancer surgery by National Clinical Database Japan. Gen Thorac Cardiovasc Surg. 2019;67:297\u2013305.","journal-title":"Gen Thorac Cardiovasc Surg"},{"key":"1144_CR2","doi-asserted-by":"publisher","first-page":"287","DOI":"10.1016\/j.athoracsur.2015.06.026","volume":"101","author":"A Pforr","year":"2016","unstructured":"Pforr A, Pages PB, Baste JM, Thomas P, Falcoz PE, Lepimpec Barthes F, et al. A Predictive score for bronchopleural fistula established using the French Database Epithor. Ann Thorac Surg. 2016;101:287\u201393.","journal-title":"Ann Thorac Surg"},{"key":"1144_CR3","doi-asserted-by":"publisher","first-page":"266","DOI":"10.1016\/j.athoracsur.2010.04.092","volume":"90","author":"GM Aru","year":"2010","unstructured":"Aru GM, Jew NB, Tribble CG, Merrill WH. Intrathoracic vacuum-assisted management of persistent and infected pleural spaces. 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Ann Thorac Surg. 2020;109:e349\u201351.","journal-title":"Ann Thorac Surg"},{"key":"1144_CR6","doi-asserted-by":"publisher","first-page":"1582","DOI":"10.1016\/j.athoracsur.2011.01.018","volume":"91","author":"A Saadi","year":"2011","unstructured":"Saadi A, Perentes JY, Gonzalez M, Tempia AC, Wang Y, Demartines N, et al. Vacuum-assisted closure device: a useful tool in the management of severe intrathoracic infections. Ann Thorac Surg. 2011;91:1582\u20139.","journal-title":"Ann Thorac Surg"},{"key":"1144_CR7","doi-asserted-by":"publisher","first-page":"e23","DOI":"10.1016\/j.athoracsur.2011.03.047","volume":"92","author":"E Passera","year":"2011","unstructured":"Passera E, Guanella G, Meroni A, Chiesa G, Rizzi A, Rocco G. Amplatzer device and vacuum-assisted closure therapy to treat a thoracic empyema with bronchopleural fistula. Ann Thorac Surg. 2011;92:e23\u20135.","journal-title":"Ann Thorac Surg"},{"key":"1144_CR8","doi-asserted-by":"publisher","first-page":"130","DOI":"10.1186\/1749-8090-6-130","volume":"6","author":"Z Sziklavari","year":"2011","unstructured":"Sziklavari Z, Grosser C, Neu R, Schemm R, Kortner A, Sz\u00f6ke T, et al. Complex pleural empyema can be safely treated with vacuum-assisted closure. J Cardiothorac Surg. 2011;6:130.","journal-title":"J Cardiothorac Surg"}],"container-title":["Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-021-01144-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s40792-021-01144-4\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-021-01144-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,3,2]],"date-time":"2021-03-02T13:03:14Z","timestamp":1614690194000},"score":1,"resource":{"primary":{"URL":"https:\/\/surgicalcasereports.springeropen.com\/articles\/10.1186\/s40792-021-01144-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3,2]]},"references-count":8,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["1144"],"URL":"https:\/\/doi.org\/10.1186\/s40792-021-01144-4","relation":{},"ISSN":["2198-7793"],"issn-type":[{"type":"electronic","value":"2198-7793"}],"subject":[],"published":{"date-parts":[[2021,3,2]]},"assertion":[{"value":"21 December 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 February 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 March 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"The patient and his wife provided permission to publish this case report and any accompanying images.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"Not applicable.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"61"}}