Petrella Francesco, Sandri Alberto, Rizzo Stefania, Borri Alessandro, Galetta Domenico, Gasparri Roberto, Spaggiari Lorenzo
Division of Thoracic Surgery, European Institute of Oncology, Milan, Italy.
Department of Oncology and Hemato-Oncology, Università degli Studi di Milano, Milan, Italy.
J Thorac Dis. 2018 Jan;10(1):468-471. doi: 10.21037/jtd.2017.11.145.
Post pneumonectomy bronchopleural fistula (BPF) is a life-threatening complication requiring pleural cavity drainage to avoid acute mediastinal shift and contralateral aspiration pneumonia. Chest drain insertion in this situation may be technically difficult because of drastic anatomical changes such as mediastinal dislocation, diaphragm elevation and, sometimes, massive subcutaneous emphysema. In addition, the most important part of the pleural cavity to be drained is the costophrenic recess that is scarcely drained by a standard chest tube with its tip aiming high and upwards. We propose a safe, simple and effective technique based on the siphon principle to drain the lowest part of the pleural cavity.
肺切除术后支气管胸膜瘘（BPF）是一种危及生命的并发症，需要进行胸腔引流以避免急性纵隔移位和对侧吸入性肺炎。在这种情况下，由于存在诸如纵隔移位、膈肌抬高以及有时出现大量皮下气肿等剧烈的解剖结构变化，插入胸腔引流管在技术上可能具有挑战性。此外，胸腔引流的最重要部位是肋膈隐窝，而标准胸腔引流管的尖端向上且位置较高，几乎无法引流到该部位。我们提出一种基于虹吸原理的安全、简单且有效的技术，用于引流胸腔的最低部位。
