肺切除术后脓胸并发支气管胸膜瘘的多模态治疗。
Multimodal Treatment for Post-Pneumonectomy Bronchopleural Fistula Associated With Empyema.
机构信息
Division of Thoracic Surgery, Sant'Andrea Hospital, Faculty of Medicine and Psychology, University of Rome 'Sapienza', Rome, Italy.
Division of Thoracic Surgery, Policlinico Umberto I, Faculty of Pharmacy and Medicine, University of Rome 'Sapienza', Rome, Italy.
出版信息
Ann Thorac Surg. 2018 Dec;106(6):e337-e339. doi: 10.1016/j.athoracsur.2018.05.094.
Post-pneumonectomy bronchopleural fistula associated with empyema still remains a dreaded complication in thoracic surgery. A variety of surgical and endoscopic procedures have been proposed over the years, but none of these has been suitable for all patients. Herein, we report a new multimodal approach, including the insertion of tracheobronchial conical stent, the open pleural packing, and the closure of bronchial stump with omentoplasty. This procedure was successfully applied in 11 patients with post-pneumonectomy bronchopleural fistula with empyema.
肺切除术后支气管胸膜瘘伴脓胸仍然是胸外科的一种可怕并发症。多年来已经提出了多种手术和内镜治疗方法，但没有一种方法适合所有患者。在此，我们报告一种新的多模式方法，包括气管支气管锥形支架置入、开放性胸膜填塞术和使用带蒂大网膜覆盖支气管残端。该方法成功应用于 11 例肺切除术后支气管胸膜瘘伴脓胸患者。
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