Paul Subroto, Talbot Simon G, Carty Matthew, Orgill Dennis P, Zellos Lambros
Division of Thoracic Surgery, Brigham & Women's Hospital, Boston, Massachusetts 02115, USA.
Ann Thorac Surg. 2007 Apr;83(4):1519-21. doi: 10.1016/j.athoracsur.2006.10.017.
We describe a 65-year-old man who was treated for an empyema after a right middle and lower lobectomy for adenocarcinoma with a Clagett procedure who subsequently had a bronchopleural fistula develop. After adequate debridement of the cavity through dressing changes, the right bronchus intermedius bronchopleural fistula was closed using a collagen porcine plug (Surgisis anal fistula plug [Cook Medical Inc, Bloomington, IN]) placed through the cavity into the fistula along with the placement of omentum into the cavity. This case report illustrates the utility of collagen plugs to close bronchopleural fistulas.
我们描述了一名65岁男性，他因腺癌接受了右中下肺叶切除术后并发脓胸，采用了Clagett手术治疗，随后出现了支气管胸膜瘘。通过换药对胸腔进行充分清创后，使用猪胶原蛋白封堵剂（Surgisis肛瘘封堵剂[库克医疗公司，印第安纳州布鲁明顿]）经胸腔置入瘘管，同时将大网膜置入胸腔，封闭右中间支气管支气管胸膜瘘。本病例报告说明了胶原蛋白封堵剂在闭合支气管胸膜瘘方面的效用。
