Department of Thoracic Surgery and Oncology, First Affiliated Hospital of Guangzhou Medical University, State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, Guangzhou, China.
Department of Thoracic Surgery, Glenfield Hospital, United Kingdom.
Ann Thorac Surg. 2022 Apr;113(4):e255-e257. doi: 10.1016/j.athoracsur.2021.06.014. Epub 2021 Jun 29.
Carinal reconstruction and omental flap harvesting are traditionally performed through open approaches. We report a case in which carinal reconstruction with bronchial flap and omental flap reinforcement was performed using minimally invasive approaches. The omental flap was harvested laparoscopically and wrapped around the anastomosis, which reduced the risk of airway anastomosis complications. Noncircumferential resection and reconstruction used bronchial flap, which made it easier to perform under video-assisted thoracoscopic surgery conditions. Minimally invasive carinal reconstruction with bronchial flap and omental reinforcement after neoadjuvant treatment can be safely performed.
隆突重建和网膜瓣采集传统上通过开放方法进行。我们报告了一例通过微创方法进行隆突重建、支气管瓣和网膜瓣加固的病例。网膜瓣通过腹腔镜采集并包裹在吻合口周围，降低了气道吻合口并发症的风险。非环形切除和重建使用支气管瓣，使得在胸腔镜手术条件下更容易进行。新辅助治疗后，使用支气管瓣进行微创隆突重建和网膜加固是安全可行的。
