Ludwig C
Klinik für Thoraxchirurgie, Florence Nightingale Krankenhaus, Akademisches Lehrkrankenhaus der Heinrich-Heine-Universität Düsseldorf, Kreuzbergstr. 79, 40489, Düsseldorf, Deutschland.
Chirurg. 2019 Sep;90(9):704-709. doi: 10.1007/s00104-019-0987-0.
The treatment of tracheopleural and bronchopleural fistulas at an anastomosis after sleeve resection is complex and fraught with complications. Morbidity and mortality are very high. Therefore, great care must be taken to avoid such complications. The clinical signs and the early diagnosis of a potentially critical anastomosis or anastomotic leakage as well as the treatment, including secondary pneumonectomy are presented.
袖状切除术后吻合口处气管胸膜瘘和支气管胸膜瘘的治疗复杂且并发症频发。发病率和死亡率都非常高。因此,必须格外小心以避免此类并发症。本文介绍了潜在关键吻合口或吻合口漏的临床体征、早期诊断以及包括二期肺切除术在内的治疗方法。