Thoracic Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA.
Thorac Surg Clin. 2009 Nov;19(4):531-5. doi: 10.1016/j.thorsurg.2009.07.007.
Diaphragmatic resection necessitates complete reconstruction to avoid respiratory compromise or the displacement of abdominal contents into the chest. Often the diaphragm can be reconstructed primarily, but with larger or complete resections, reconstruction with synthetic material or autologous tissues is the most appropriate choice. To reduce the risk of denervation of the diaphragm or large intraoperative blood loss, an in-depth knowledge of the diaphragmatic innervation and blood supply are necessary when performing diaphragm resection and reconstruction.
膈肌切除术需要进行完全重建，以避免呼吸功能受损或腹部内容物移位至胸腔。通常，膈肌可以直接重建，但对于较大或完全的切除术，使用合成材料或自体组织进行重建是最合适的选择。为了降低膈肌去神经或术中大量失血的风险，在行膈肌切除和重建时，需要深入了解膈肌的神经支配和血供。
