Tatsumi A, Kitano M, Nagasaki F, Huang C, Koh T, Koizumi S
Kyobu Geka. 1989 Dec;42(13):1095-100.
We present a series of 16 consecutive patients who underwent the omental pedicle flap method in the field of thoracic surgery. Fourteen of 16 patients were chronic empyema with bronchopleural fistulae and/or thoracic fistulae. A pedicle of omentum containing the right gastroepiploic artery was passed through a tunnel in the anterior diaphragm into the empyema cavity. It was fixed by mono-filament sutures on the bronchopleural fistulae. All but two patients were cured successfully by single-stage procedures. We also used a omental pedicle flap for mediastinal infection and reconstruction of the chest wall. We conclude that the use of omental pedicle flap is a promising method for treatment of serious infection in the field of thoracic surgery.
我们报告了一组连续16例在胸外科领域接受网膜蒂瓣手术的患者。16例患者中有14例为伴有支气管胸膜瘘和/或胸壁瘘的慢性脓胸。将包含右胃网膜动脉的网膜蒂通过前膈肌隧道送入脓胸腔。用单丝缝线将其固定在支气管胸膜瘘上。除两名患者外，所有患者均通过一期手术成功治愈。我们还将网膜蒂瓣用于纵隔感染和胸壁重建。我们得出结论，网膜蒂瓣的应用是胸外科领域治疗严重感染的一种有前景的方法。
