Kirschbaum Andreas, Teymoortash Afsin
Department of Surgery, University Hospital, Marburg, Germany.
Department of Head and Neck Surgery, University Hospital, Marburg, Germany.
Thorac Cardiovasc Surg Rep. 2013 Dec;2(1):32-4. doi: 10.1055/s-0033-1350104. Epub 2013 Jul 16.
The main prerequisite for the unimpaired wound healing after resection of tracheal stenosis is its tension-free end-to-end anastomosis. This is only achievable when the tracheal ends can be adequately mobilized. Several mobilization techniques have been described in the literature. Here, the authors describe a case of tracheal mobilization under video mediastinoscopic assistance that displayed a considerable advantage over blunt mobilization and a length gain of over 3 cm.
气管狭窄切除术后伤口顺利愈合的主要前提是进行无张力端端吻合。只有当气管两端能够充分游离时才能实现这一点。文献中已经描述了几种游离技术。在此,作者描述了一例在电视纵隔镜辅助下进行气管游离的病例,该方法相较于钝性游离显示出显著优势,并且长度增加超过3厘米。