关键词: 肺切除术, 支气管残端瘘, 修补术

Abstract: [Abstract] Objective To investigate two cases clinical manifestations, operation opportunities, principles of management for bronchial stump fistula after pneumonectomy. Methods A retrospective data was analysed for bronchial stump fistula of 2 cases after pneumonectomy of lung cancer emerge clinical manifestations, diagnosis, treatment and processing methods. Results Two patients were discharged with complete healing, one of the patients adopting routine transthoracoscope approach to close the bronchial stump, the other patient using the transsternal transpericardial approach to close bronchial stump. Conclusions The bronchial stump fistula should early be diagnosis, continuous thoracic washing, anti-infection, nutritional support therapies. Choosing the proper operative opportunities and the suitable operative mode close the fistula, which are very pivotal.

Key words: pneumonectomy, bronchial stump fistula, neoplasty