Table 3. Major series of surgical management of broncholithiasis.
Publication | Patients | Etiology | Type of surgery | Complications |
---|---|---|---|---|
Hammoud 2009 (19) | 13 | Fixed broncholiths, recurrent pneumonia and/or hemoptysis from histoplasmosis | Lobectomy (n=7, 54%); Bilobectomy (n=5, 38%); transbronchial excision of LN (n=1; 8%) | Air leak (n=1, 7.7%); empyema (n=1, 7.7%) |
Cerfolio 2008 (1) | 5 | BE fistula (n=2, 40%); fixed broncholith (n=3, 60%) | Thoracotomy with LN curettage and/or removal (n=5, 100%) | None reported |
Potaris 2000 (20) | 47 | Hemoptysis (n=21, 45%); recurrent pneumonia (n=11, 23%); suspected BE fistula (n=5, 11%); suspected malignancy (n=6, 13%); failed bronchoscopy (n=4, 9%) | Lobectomy (n=16, 34%); bilobectomy (n=4, 8.5%); segmentectomy (n=7, 15%); wedge resection (n=2, 4%); pneumonectomy (n=1, 2%); broncholithectomy with pulmonary resection (n=30, 64%); broncholithectomy only (n=9, 19%); broncholithectomy with bronchoplasty (n=7; 15%); sleeve resection of left mainstem (n=1, 2%) | Intraop (n=6, 12.8%): PA laceration (n=4, 8.5%); esophageal laceration (n=1, 2.1%); mainstem bronchus laceration (n=1, 2.1%); postop (n=16, 34%): hemothorax (n=2); empyema (n=2); wound dehiscence (n=1); PA thrombosis (n=1); lingua necrosis (n=1); respiratory insufficiency (n=3); confusion (n=2); prolonged air leak (n=2); pneumothorax (n=1); air atrial fibrillation (n=1); |
Cole 1986 (16) | 25 | Fixed broncholiths, symptoms after bronchoscopy, hemoptysis from histoplasmosis, aspergillosis, and tuberculosis | Thoracotomy (n=26, 100%); segmental resection (n=11, 42%), lobectomy (n=11, 42%), bronchotomy with broncholithectomy (n=3, 12%), tracheoesophageal fistula repair (n=1, 4%) | None reported |
BE, bronchoesophageal; LN, lymph node; PA, pulmonary artery.