[带蒂大网膜瓣闭合肺切除术后支气管胸膜瘘3例]

[Closure method of bronchopleural fistula with omental pedicle flap in three cases following pneumonectomy].

作者信息

Inagaki K, Arai T, Morita T, Yano M, Ogawa N, Miyazawa H, Takayama T, Nonaka M

出版信息

Kyobu Geka. 1989 Dec;42(13):1090-4.

Abstract

This report presents that successful closure of bronchopleural fistula was performed by using omental pedicle flap for three postpneumonectomy patients. In our department, these cases were experienced among 142 pneumonectomies from January 1984 to July 1989. The initial operations were a pleuropneumonectomy for empyema, a pneumonectomy and a sleeve pneumonectomy for lung cancer. Our technique was direct closure of bronchopleural fistula with omental pedicle flap without thoracoplasty. Although none of them had recurrence of bronchopleural fistula nor other complications in postoperative course, two patients died of cancer.

摘要

本报告介绍了对3例肺切除术后患者采用带蒂大网膜瓣成功闭合支气管胸膜瘘的情况。在我们科室，1984年1月至1989年7月间的142例肺切除术中出现了这些病例。初次手术分别为因脓胸行胸膜肺切除术、因肺癌行肺切除术和袖状肺叶切除术。我们的技术是采用带蒂大网膜瓣直接闭合支气管胸膜瘘，无需胸廓成形术。尽管术后无一例出现支气管胸膜瘘复发或其他并发症，但有2例患者死于癌症。