Federation of Digestive Diseases, France, Amiens North Hospital, Amiens, France.
Ann Thorac Surg. 2011 Mar;91(3):922-4. doi: 10.1016/j.athoracsur.2010.08.027.
The autologous or "extended" latissimus dorsi flap is a standard technique in breast reconstruction. The authors report a case of gastrobronchial fistula after sleeve gastrectomy managed by a new option, combing a reversed "extended" latissimus dorsi flap and a serratus anterior fascia flap. It provides good quality autologous living tissue to treat thoracoabdominal infection associated with diaphragmatic necrosis. Aggressive management, such as surgical resection, should be performed for these patients with a benign but life-threatening disease.
自体或“扩展”背阔肌皮瓣是乳房重建的标准技术。作者报告了一例袖状胃切除术后胃支气管瘘的病例，采用了一种新的方法进行治疗，即结合使用反向“扩展”背阔肌皮瓣和前锯肌筋膜皮瓣。它提供了高质量的自体活组织，用于治疗与膈肌坏死相关的胸腹壁感染。对于这些患有良性但危及生命的疾病的患者，应进行积极的治疗，如手术切除。
