Infante Maurizio V, Alloisio Marco, Balzarini Luca, Cariboni Umberto, Testori Alberto, Incarbone Matteo A, Macri Paolo, Ravasi Gianluigi
Department of Thoracic Surgery and Radiology--NMR, Humantis Hospital (Istituto Clinico Humanitas), Milan, Italy.
Ann Thorac Surg. 2004 Jan;77(1):351-3. doi: 10.1016/s0003-4975(03)00892-0.
A pedicled flap obtained by mobilizing the right lobe of the thymus was used to protect bronchial sutures in 29 consecutive patients undergoing a right pneumonectomy and in 4 additional patients. Fourteen patients had received preoperative chemotherapy with or without radiotherapy. The flap procedure was, in general, easy to do, required an average time of 20.4 minutes, and did not cause added operative morbidity. Postoperative magnetic resonance imaging, performed in 21 of the 29 patients who had pneumonectomy, showed a viable flap in every instance. One bronchopleural fistula occurred in a pneumonectomy patient after induction chemotherapy plus radiotherapy in a patient in the pneumonectomy group in whom adult respiratory distress syndrome developed postoperatively and who required prolonged mechanical ventilation.
通过调动胸腺右叶获得的带蒂皮瓣被用于保护29例连续接受右肺切除术的患者以及另外4例患者的支气管缝线。14例患者接受了术前化疗，部分患者还接受了放疗。皮瓣手术总体上操作简便，平均耗时20.4分钟，且未增加手术并发症。在29例接受肺切除术的患者中，21例术后进行了磁共振成像检查，结果显示每次皮瓣均存活。肺切除组中有1例患者在诱导化疗加放疗后发生支气管胸膜瘘，该患者术后发生成人呼吸窘迫综合征，需要长时间机械通气。
