Ikeda T
Kyobu Geka. 1989 Dec;42(13):1060-7.
The omentum has been known to have a remarkable power of repair through neovascularization and scavenger function. Nine patients have been treated with the pedicled omentum. In 4 patients the omentum was used to obtain healing in the presence of infection. Bronchial fistulas were successfully closed in 3 patients with lung cancer and bronchial anastomotic leakage was repaired in one patient who received carinal reconstruction. In 5 patients, all of them had simultaneous resection of thoracic esophagus, the preventive use of omentum made a good result in two tracheoplasties, one pneumonectomy and one terminal tracheostomy. But one patient with esophago-tracheofistula after irradiation to esophageal cancer developed tracheal necrosis postoperatively. The omentum is useful in the case of postoperative empyema with bronchial fistula especially in patient with lung cancer. In the case of tracheobronchial resection after radiation therapy or with resection of thoracic esophagus, the suture line should be wrapped by omentum to prevent anastomotic leakage.
已知大网膜具有通过新生血管形成和清除功能进行显著修复的能力。9例患者接受了带蒂大网膜治疗。4例患者利用大网膜在存在感染的情况下实现愈合。3例肺癌患者的支气管瘘成功闭合，1例接受隆突重建的患者的支气管吻合口漏得到修复。5例患者均同时进行了胸段食管切除，预防性使用大网膜在2例气管成形术、1例肺切除术和1例终末气管造口中取得了良好效果。但1例食管癌放疗后发生食管气管瘘的患者术后出现气管坏死。大网膜对于术后脓胸合并支气管瘘的情况尤其在肺癌患者中是有用的。在放疗后进行气管支气管切除或胸段食管切除的情况下，缝合线应用大网膜包裹以防止吻合口漏。
