Witte Biruta, Hürtgen Martin
Department of Thoracic Surgery, Katholisches Klinikum Koblenz, Koblenz, Germany.
Ann Thorac Surg. 2007 Oct;84(4):1378-9. doi: 10.1016/j.athoracsur.2007.05.042.
Routine use of pedicled thymus or pericardial fat pad flap for prophylactic bronchial stump coverage in neoadjuvant treated non-small cell lung cancer (NSCLC) is challenged by the observation of synchronous lymph node metastases to the flap. As a consequence, we suggest local muscle flaps, and histological examination of the pericardial fat pad.