Tarasov V A, Makhkamov A S, Sharov Iu K, Boiarkin G M, Pobegalov E S
Vopr Onkol. 2006;52(5):556-9.
Extended or combined pneumonectomies were performed in 56 cases of advanced complicated non-small cell lung cancer. Bronchial stump was closed by a modification of Overholt's technique using a vascularised tissue flap. Postoperative complication rate was 66%, mortality--23% and bronchial fistula--1.8% (1 case). Our modification of Overholt's technique using a well vascularised flap from the pericardium, muscle or omentum effectively prevented bronchial fistula in cases of multiple risk and is indicated in all cases of surgery for advanced lung cancer.
对56例晚期复杂非小细胞肺癌患者实施了扩大或联合肺切除术。采用改良的奥弗霍尔特技术，利用带血管组织瓣封闭支气管残端。术后并发症发生率为66%，死亡率为23%，支气管瘘发生率为1.8%（1例）。我们采用来自心包、肌肉或网膜的血运丰富的组织瓣对奥弗霍尔特技术进行改良，在存在多种风险的情况下有效预防了支气管瘘，适用于所有晚期肺癌手术病例。
