Tsybyrné K A, Gulia D I, Groza G N, Bunu I A
Grudn Khir. 1989 Nov-Dec(6):59-61.
The article describes the method of operation for removal of a pyothorax cavity and a bronchial fistula with the use of the latissimus dorsi muscle which is mobilized from all sites of attachment to bone structures and separated to a neurovascular pedicle. The operation was carried out on 6 patients with tuberculous and unspecific pyothorax with a bronchial fistula and a defect in the thoracic wall. Due to its large size, the presence of a long main vascular pedicle, and anatomical position, this muscle can be used successfully in the management of such patients. A good effect was produced with minimum functional loss.
本文描述了一种利用背阔肌切除脓胸腔和支气管瘘的手术方法，该肌肉从其附着于骨结构的所有部位游离出来，并分离成神经血管蒂。对6例患有结核性和非特异性脓胸并伴有支气管瘘和胸壁缺损的患者进行了该手术。由于其体积大、存在长的主要血管蒂以及解剖位置，该肌肉可成功用于此类患者的治疗，且功能损失最小，效果良好。
