Miyazaki Takuro, Yamasaki Naoya, Tsuchiya Tomoshi, Matsumoto Keitaro, Kamohara Ryotaro, Hatachi Go, Hidaka Shigekazu, Nagayasu Takeshi
Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
J Thorac Dis. 2017 Mar;9(3):E226-E229. doi: 10.21037/jtd.2017.03.19.
A 56-year-old man underwent right upper sleeve lobectomy with mediastinal lymph node dissection after induction chemoradiotherapy (CRT) for advanced non-small cell lung cancer (NSCLC). The patient developed anastomotic dehiscence 11 days postoperatively. A fistula measuring 10 mm in diameter was found around the transition region between cartilage and membranous portions of the bronchus. To avoid completion right pneumonectomy, omentopexy was performed to cover the bronchial dehiscence and facilitate healing. The patient's condition improved after a redo operation with surveillance bronchoscopy to check the anastomotic status. Omentopexy may be a feasible treatment option for bronchial dehiscence and could help to avoid completion pneumonectomy (CP).
一名56岁男性在接受晚期非小细胞肺癌(NSCLC)诱导放化疗(CRT)后,接受了右上袖式肺叶切除术及纵隔淋巴结清扫术。患者术后11天出现吻合口裂开。在支气管软骨部与膜部的移行区周围发现了一个直径为10毫米的瘘管。为避免行全右肺切除术,进行了网膜固定术以覆盖支气管裂开处并促进愈合。在再次手术并通过监测支气管镜检查吻合口情况后,患者病情好转。网膜固定术可能是治疗支气管裂开的一种可行选择,有助于避免全肺切除术(CP)。