When dealing with a left main bronchial stump fistula with chronic empyema, a contralateral
extrapleural approach is recommended for reamputation and closure at both the proximal
and distal sections. By these means a secure closure can be achieved and, at the same
time, infection of the pleural cavity on the right side can be avoided, the preserved
and unopened mediastinal pleura reliably covers the operative site, and postoperative
respiratory disturbances can also be avoided.
Bronchial stump fistula - Surgical treatment