Li QY, Wang XL, Zhang F, Wei HT. Bronchopleural fistula following application of Hem-o-lock clip at bronchial stump after lobectomy: A case report. World J Clin Cases 2025; 13(13): 102108 [DOI: 10.12998/wjcc.v13.i13.102108]
Corresponding Author of This Article
Xiao-Long Wang, MD, Associate Chief Physician, Department of Thoracic Surgery, Huaihe Hospital of Henan University, No. 1 Baobei Road, Gulou District, Kaifeng 475000, Henan Province, China. wxl_0963@163.com
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Qian-Yu Li, Huaihe Hospital of Henan University, Kaifeng 475000, Henan Province, China
Xiao-Long Wang, Feng Zhang, Hai-Tao Wei, Department of Thoracic Surgery, Huaihe Hospital of Henan University, Kaifeng 475000, Henan Province, China
Author contributions: Li QY was responsible for the revision of the manuscript and contributed to manuscript drafting; Wang XL contributed to the conception and revision of the manuscript; Zhang F and Wei HT selected the figures; all authors have read and approved the final manuscript.
Informed consent statement: Written informed consent was obtained from the patient for the publication of this case report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist statement, and the manuscript was prepared and revised according to the CARE Checklist statement.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xiao-Long Wang, MD, Associate Chief Physician, Department of Thoracic Surgery, Huaihe Hospital of Henan University, No. 1 Baobei Road, Gulou District, Kaifeng 475000, Henan Province, China. wxl_0963@163.com
Received: October 9, 2024 Revised: November 23, 2024 Accepted: December 23, 2024 Published online: May 6, 2025 Processing time: 94 Days and 12.7 Hours
Abstract
BACKGROUND
Hem-o-lock clip, a versatile and reliable non-absorbable tissue clip, has gained widespread acceptance in laparoscopic surgeries for vessel ligation and tissue approximation. Its efficacy and safety have been well-documented.
CASE SUMMARY
This case report describes the occurrence of a bronchopleural fistula following the application of the Hem-o-lock clip for the treatment of a lobar bronchial stump after lobectomy.
CONCLUSION
This case underscores the importance of exercising caution when using the Hem-o-lock clip for the management of non-vascular tissues during thoracic surgery.
Core Tip: This case report describes the development of a bronchopleural fistula following the application of the Hem-o-lock clip to secure a lobar bronchial stump after lobectomy. The complication was managed by chest tube drainage and resolved without significant issues. This case underscores the importance of exercising caution when using the Hem-o-lock clip for non-vascular tissues in thoracic surgery.
