Shihu Liu, Yunpeng Xuan, Yongjie Wang, Haiyan Wang
{"title":"支气管镜下自体富血小板血浆治疗巨大支气管胸膜瘘。","authors":"Shihu Liu, Yunpeng Xuan, Yongjie Wang, Haiyan Wang","doi":"10.1186/s13019-025-03396-9","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Bronchopleural fistula (BPF) is a severe complication observed in patients undergoing lobectomy or pneumonectomy, often resulting in high morbidity and mortality rates.</p><p><strong>Case presentation: </strong>We present a case of successful treatment of a giant bronchopleural fistula (20 mm *10 mm). The patient underwent a thoracoscopic right lower lobectomy.The approach we used was local injection of autologous frozen platelet-rich plasma (PRP) with bronchoscopic assistance while maintaining digital chest drainage.We chose the treatment of PRP combined with digital drainage for bronchopleural fistula, not only healing of the fistula but also focusing on elimination of the residual cavity in the thoracic cavity.</p><p><strong>Conclusion: </strong>This highlights the effectiveness of this comprehensive approach in the treatment of bronchopleural fistulae and provides a promising treatment option for future treatment of similarly large bronchopleural fistulae.</p>","PeriodicalId":15201,"journal":{"name":"Journal of Cardiothoracic Surgery","volume":"20 1","pages":"189"},"PeriodicalIF":1.5000,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11987415/pdf/","citationCount":"0","resultStr":"{\"title\":\"Bronchoscopic treatment of a giant bronchopleural fistula with autologous platelet-rich plasma.\",\"authors\":\"Shihu Liu, Yunpeng Xuan, Yongjie Wang, Haiyan Wang\",\"doi\":\"10.1186/s13019-025-03396-9\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Bronchopleural fistula (BPF) is a severe complication observed in patients undergoing lobectomy or pneumonectomy, often resulting in high morbidity and mortality rates.</p><p><strong>Case presentation: </strong>We present a case of successful treatment of a giant bronchopleural fistula (20 mm *10 mm). The patient underwent a thoracoscopic right lower lobectomy.The approach we used was local injection of autologous frozen platelet-rich plasma (PRP) with bronchoscopic assistance while maintaining digital chest drainage.We chose the treatment of PRP combined with digital drainage for bronchopleural fistula, not only healing of the fistula but also focusing on elimination of the residual cavity in the thoracic cavity.</p><p><strong>Conclusion: </strong>This highlights the effectiveness of this comprehensive approach in the treatment of bronchopleural fistulae and provides a promising treatment option for future treatment of similarly large bronchopleural fistulae.</p>\",\"PeriodicalId\":15201,\"journal\":{\"name\":\"Journal of Cardiothoracic Surgery\",\"volume\":\"20 1\",\"pages\":\"189\"},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2025-04-11\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11987415/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Cardiothoracic Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1186/s13019-025-03396-9\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"CARDIAC & CARDIOVASCULAR SYSTEMS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Cardiothoracic Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s13019-025-03396-9","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
Bronchoscopic treatment of a giant bronchopleural fistula with autologous platelet-rich plasma.
Background: Bronchopleural fistula (BPF) is a severe complication observed in patients undergoing lobectomy or pneumonectomy, often resulting in high morbidity and mortality rates.
Case presentation: We present a case of successful treatment of a giant bronchopleural fistula (20 mm *10 mm). The patient underwent a thoracoscopic right lower lobectomy.The approach we used was local injection of autologous frozen platelet-rich plasma (PRP) with bronchoscopic assistance while maintaining digital chest drainage.We chose the treatment of PRP combined with digital drainage for bronchopleural fistula, not only healing of the fistula but also focusing on elimination of the residual cavity in the thoracic cavity.
Conclusion: This highlights the effectiveness of this comprehensive approach in the treatment of bronchopleural fistulae and provides a promising treatment option for future treatment of similarly large bronchopleural fistulae.
期刊介绍：
Journal of Cardiothoracic Surgery is an open access journal that encompasses all aspects of research in the field of Cardiology, and Cardiothoracic and Vascular Surgery. The journal publishes original scientific research documenting clinical and experimental advances in cardiac, vascular and thoracic surgery, and related fields.
Topics of interest include surgical techniques, survival rates, surgical complications and their outcomes; along with basic sciences, pediatric conditions, transplantations and clinical trials.
Journal of Cardiothoracic Surgery is of interest to cardiothoracic and vascular surgeons, cardiothoracic anaesthesiologists, cardiologists, chest physicians, and allied health professionals.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
