Kimino K, Uchiyama Y, Kawahara K, Ayabe H, Yamaoka N, Akamine S, Matsuo S, Oota Y, Tomita M
Kyobu Geka. 1989 Dec;42(13):1073-7.
The benefit of the omentum in chest surgery was experimentally evaluated on the basis of findings in relation to recanalization of the bronchial artery in bronchoplasty with and without omental wrapping. The arterial blood supply at the anastomotic sites was observed in the early stage following bronchoplasty using the omental wrapping. Clinical application of the omentum in chest surgery was performed by wrapping anastomotic site at tracheobronchoplasty in 3 cases, bronchial stump coverage after lobectomy or pneumonectomy in 2 cases, repair of bronchial fistula following pneumonectomy in 1 case and repair of bronchopleurocutaneous fistula in pulmonary tuberculosis in 1 case. Six of these clinical cases could have favorable postoperative results. Based on these experimental and clinical results, we consider that the omentum is very useful tissue for wound healing in chest surgery.
基于支气管成形术中有无大网膜包裹时支气管动脉再通的相关研究结果，对大网膜在胸外科手术中的益处进行了实验评估。在采用大网膜包裹的支气管成形术后早期，观察吻合部位的动脉血供情况。大网膜在胸外科手术中的临床应用包括：3例气管支气管成形术中包裹吻合部位，2例肺叶切除或肺切除术后覆盖支气管残端，1例肺切除术后支气管瘘修补，1例肺结核患者支气管胸膜皮肤瘘修补。这些临床病例中有6例术后效果良好。基于这些实验和临床结果，我们认为大网膜是胸外科手术中促进伤口愈合的非常有用的组织。
