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[支气管成形切除术(袖状或分叉切除术)后气管胸膜瘘和支气管胸膜瘘的外科治疗]

[Surgical treatment of tracheopleural and bronchopleural fistulas after bronchoplastic resection (sleeve or bifurcation resection)].

作者信息

Ludwig C

机构信息

Klinik für Thoraxchirurgie, Florence Nightingale Krankenhaus, Akademisches Lehrkrankenhaus der Heinrich-Heine-Universität Düsseldorf, Kreuzbergstr. 79, 40489, Düsseldorf, Deutschland.

出版信息

Chirurg. 2019 Sep;90(9):704-709. doi: 10.1007/s00104-019-0987-0.

DOI:10.1007/s00104-019-0987-0
PMID:31209516
Abstract

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.

摘要

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。

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[Surgical treatment of tracheopleural and bronchopleural fistulas after bronchoplastic resection (sleeve or bifurcation resection)].[支气管成形切除术(袖状或分叉切除术)后气管胸膜瘘和支气管胸膜瘘的外科治疗]
Chirurg. 2019 Sep;90(9):704-709. doi: 10.1007/s00104-019-0987-0.
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本文引用的文献

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Thoracoscopic surgery using omental flap for bronchopleural fistula.胸腔镜下使用网膜瓣治疗支气管胸膜瘘手术
Surg Case Rep. 2019 Jan 14;5(1):5. doi: 10.1186/s40792-019-0563-3.
2
Pedicled and free flaps for intrathoracic fistula management.带蒂和游离皮瓣用于胸内瘘管管理。
Eur J Cardiothorac Surg. 2017 Dec 1;52(6):1211-1217. doi: 10.1093/ejcts/ezx216.
3
[Bronchial Sleeve Resection: New Techniques and Management of Complications].[支气管袖状切除术:新技术与并发症管理]
Zentralbl Chir. 2017 Sep;142(S 01):S33-S37. doi: 10.1055/s-0043-117176. Epub 2017 Sep 28.
4
Complications Following Carinal Resections and Sleeve Resections.隆突切除和袖状切除术后的并发症
Thorac Surg Clin. 2015 Nov;25(4):435-47. doi: 10.1016/j.thorsurg.2015.07.003. Epub 2015 Sep 8.
5
[Review of the Literature for Interpretation of Endobronchial Wound Healing after Tracheobronchial Sleeve Resection].[气管支气管袖状切除术后支气管伤口愈合解读的文献综述]
Pneumologie. 2015 Jul;69(7):403-8. doi: 10.1055/s-0034-1392313. Epub 2015 Jul 14.
6
Sleeve pneumonectomy for central non-small cell lung cancer: indications, complications, and survival.袖状式全肺切除术治疗中央型非小细胞肺癌:适应证、并发症和生存情况。
Ann Thorac Surg. 2013 Jul;96(1):253-8. doi: 10.1016/j.athoracsur.2013.03.065. Epub 2013 May 11.
7
Minimally invasive vacuum-assisted closure therapy in the management of complex pleural empyema.微创负压封闭引流疗法治疗复杂性胸腔脓胸
Interact Cardiovasc Thorac Surg. 2013 Jul;17(1):49-53. doi: 10.1093/icvts/ivt093. Epub 2013 Mar 27.
8
A new classification of bronchial anastomosis after sleeve lobectomy.袖状肺叶切除术支气管吻合的新分类。
J Thorac Cardiovasc Surg. 2012 Oct;144(4):808-12. doi: 10.1016/j.jtcvs.2012.06.036. Epub 2012 Jul 26.
9
Inhalation with Tobramycin to improve healing of tracheobronchial reconstruction.吸入妥布霉素以促进气管支气管重建的愈合。
Eur J Cardiothorac Surg. 2009 May;35(5):797-800; discussion 800. doi: 10.1016/j.ejcts.2008.12.048. Epub 2009 Mar 9.
10
Tracheal sleeve pneumonectomy: long-term outcome.气管袖状肺叶切除术:长期疗效
Lung Cancer. 2006 Apr;52(1):105-10. doi: 10.1016/j.lungcan.2005.12.001. Epub 2006 Feb 14.