Department of Surgery II, Faculty of Medicine, University of Miyazaki, Kiyotake, Miyazaki, Japan.
Ann Thorac Surg. 2011 Mar;91(3):935-7. doi: 10.1016/j.athoracsur.2010.08.014.
A novel method for closure of the lower membranous trachea after right pneumonectomy using a flap derived from the cartilaginous portion of the right main bronchus is described in this study. This technique was used successfully in patients with tracheal stenosis due to a giant posterior mediastinal tumor known as schwannoma. Because of the severe tracheobronchial stenosis and destroyed right lung, tumor resection combined with resection of the lower membranous trachea and right pneumonectomy was carried out. We closed the defect in the membranous lower trachea with the flap derived from the right main bronchus. The clinical course was uneventful.
本研究描述了一种使用右主支气管软骨部分衍生的皮瓣来闭合右全肺切除术后下膜性气管的新方法。该技术成功应用于因巨大后纵隔神经鞘瘤引起的气管狭窄患者。由于严重的气管支气管狭窄和右肺破坏，进行了肿瘤切除联合下膜性气管和右全肺切除。我们使用右主支气管衍生的皮瓣来闭合膜性下气管的缺损。临床过程顺利。
