Management of postpneumonectomy empyema and bronchopleural fistula
Deschamps, C.; Pairolero, P.C.; Allen, M.S.; Trastek, V.F.
Chest Surgery Clinics of North America 6(3): 519-527
1996
ISSN/ISBN: 1052-3359 PMID: 8818419 Document Number: 464773
Postpneumonectomy empyema with or without fistula is a serious complication. Management includes drainage, antibiotherapy, debridement closure of the bronchopleural fistula when present, and obliteration of the residual pleural space. Excellent results can be obtained in most patients using the Clagett procedure and its modification. A detailed description of each step of the surgical treatment of postpneumonectomy empyema and associated bronchopleural fistula is provided.