Watanabe A, Abe T, Yamauchi A, Ichimiya Y
2nd Department of Surgery, Sapporo University School of Medicine, Japan.
Thorac Cardiovasc Surg. 2000 Aug;48(4):242-3. doi: 10.1055/s-2000-9944.
Bronchial stump reinforcement is sometimes required for patients who have a high risk of developing a bronchial fistula. A lobectomy by video-assisted thoracic surgery (VATS) is widely used for the treatment of both stage I primary lung cancer and metastatic central lung cancer, but there has been no report on reinforcement of a bronchial stump in a VATS lobectomy. We report an aged patient with stage I primary lung cancer concomitant to diabetes mellitus who was successfully treated by VATS lobectomy with reinforcement of the bronchial stump using a pericardial fat pedicle flap. A Harmonic scalpel was very useful and effective in harvesting the fat pedicle.
对于有发生支气管瘘高风险的患者，有时需要进行支气管残端加固。电视辅助胸腔镜手术（VATS）肺叶切除术广泛用于治疗I期原发性肺癌和转移性中央型肺癌，但尚无关于VATS肺叶切除术中支气管残端加固的报道。我们报告了一例合并糖尿病的I期原发性肺癌老年患者，通过VATS肺叶切除术并使用心包脂肪蒂瓣加固支气管残端成功治疗。在获取脂肪蒂时，超声刀非常有用且有效。
