General Thoracic Surgery, Hamamatsu Medical Center, Hamamatsu, Japan.
General Thoracic Surgery, Hamamatsu Medical Center, Hamamatsu, Japan.
Ann Thorac Surg. 2021 Apr;111(4):e247-e248. doi: 10.1016/j.athoracsur.2020.06.127. Epub 2020 Sep 18.
We report a case of resection of a reconstructed diaphragm with fascia lata after 13 years. A 66-year-old man was diagnosed with a solitary fibrous tumor of the pleura. Thirteen years prior, resection for left postoperative pleural dissemination of solitary fibrous tumor with diaphragmatic resection was performed, and left fascia lata was used for diaphragmatic reconstruction. He relapsed, and the diaphragm was re-resected and re-reconstructed with right fascia lata. The resected, reconstructed fascia lata had microvessels in the fibrous stroma, and it was observed that the autologous tissue had become more resistant to infection by obtaining a blood supply.
我们报告了 13 年后切除重建膈肌阔筋膜的病例。一名 66 岁男性被诊断为胸膜孤立性纤维瘤。13 年前，他因左侧孤立性纤维瘤术后胸膜播散而行切除术，术中切除膈肌并用左侧阔筋膜进行膈肌重建。此次复发后，再次行手术切除并使用右侧阔筋膜进行重建。切除的重建阔筋膜在纤维基质中有微血管，观察到自体组织通过获得血液供应而变得更能抵抗感染。
