Bronchopleural fistula after lung ablation: Experience in two cases and literature review.
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Date
2015-12
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Abstract
BACKGROUND: Bronchopleural fistula (BPF) complicating lung tumor ablation is rare but severe. The purpose of this article was to study its
characteristics and treatments. MATERIALS AND METHODS: Two of 682 (0.3%) sessions of lung microwave ablation (MWA) were complicated
with BPF and documented. Two electronic databases were searched for reported cases of BPF after lung tumor ablation. Case selection and
data collection were done by 3 independent reviewers. RESULTS: A 56‑year‑old man and a 61‑year‑old woman developed BPF after MWA and
died. Thirteen cases (mean age 63.8, 61.5% male) of BPF with adequate information were identified from 8 articles. Of the 13 cases, 5 (38.5%)
had pulmonary co‑morbidity, 3 (23.1%) had a history of pulmonary surgery, 7 (53.8%) had a target tumor adjacent or abutting pulmonary pleura,
and 6 (46.2%) developed severe infections. After chest tube placement, pleurodesis, endoscopic therapy, surgery, and other treatments, 12 were
cured and 1 died of BPF and pneumonia. CONCLUSION: BPF is a rare but severe complication of lung ablation, and the management needs a
multidisciplinary and individualized treatment strategy.
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Keywords
Ablation, bronchopleural fistula, malignancy, pulmonary
Citation
Zheng A, Yang X, Ye X, Huang G, Wei Z, Wang J, Han X, Ni X, Meng M. Bronchopleural fistula after lung ablation: Experience in two cases and literature review. Indian Journal of Cancer. 2015 Dec; 52(6)Suppl_2: s41-46.