Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University, Shanghai, Peoples Republic of China.
Ann Thorac Surg. 2010 Apr;89(4):e29-30. doi: 10.1016/j.athoracsur.2010.01.059.
We describe a technique used in a patient for resection of adenoid cystic carcinoma arising from the left main bronchus and extending along the lateral wall of the lower trachea without carinal invasion. A flap was mobilized from the noninvolved lateral wall of the left main bronchus, which was left attached to the carina. This was used to close the defect in the lower trachea with the implantation of the left main bronchus, avoiding a tracheal sleeve pneumonectomy. Clinical course of this case was good. The pedicled autologous bronchial flap provides reliable material to repair and reconstruct a massive central airway defect.
我们描述了一种技术，该技术用于切除起源于左主支气管并沿下气管的外侧壁延伸而未侵犯隆突的腺样囊性癌。从左主支气管未受累的外侧壁游离出一个皮瓣，该皮瓣与隆突相连。该皮瓣用于闭合下气管的缺损并植入左主支气管，避免了气管袖状切除术。该病例的临床过程良好。带蒂自体支气管皮瓣为修复和重建大的中央气道缺损提供了可靠的材料。
