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将杜蒙支架直接从手术区域插入中间支气管瘘。

Direct Insertion of a Dumon Stent Into an Intermediate Bronchus Fistula From the Surgical Field.

作者信息

Sezaki Ryo, Hashimoto Takehisa, Tsuchida Masanori

机构信息

Niigata University Community Medicine Education Center, Uonuma Kikan Hospital, Niigata, Japan.

Division of Thoracic and Cardiovascular Surgery, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.

出版信息

Ann Thorac Surg Short Rep. 2024 Apr 18;2(3):509-512. doi: 10.1016/j.atssr.2024.04.001. eCollection 2024 Sep.

DOI:10.1016/j.atssr.2024.04.001
PMID:39790397
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11708320/
Abstract

A 54-year-old man underwent right S6 segmentectomy for right lung cancer. After discharge, he presented with fever, hemoptysis, and cough, and computed tomography showed an intermediate bronchus fistula. Because direct closure or bronchoplasty was challenging, a Dumon (Novatech) stent was inserted directly into the fistula from the surgical field and covered with an autologous pericardial patch, pedicled mediastinal fat, and intercostal muscle. The Dumon stent was removed by rigid bronchoscopy 1 year later. For an intermediate bronchus fistula that was difficult to repair by bronchoplasty, a Dumon stent was effective for maintaining bronchial patency and preserving the peripheral lung.

摘要

一名54岁男性因右肺癌接受了右肺S6段切除术。出院后，他出现发热、咯血和咳嗽症状，计算机断层扫描显示存在叶间支气管瘘。由于直接缝合或支气管成形术具有挑战性，遂将一枚杜蒙（诺瓦泰克）支架从手术区域直接插入瘘管，并覆盖自体心包补片、带蒂纵隔脂肪和肋间肌。1年后通过硬质支气管镜取出了杜蒙支架。对于难以通过支气管成形术修复的叶间支气管瘘，杜蒙支架在维持支气管通畅和保留外周肺组织方面效果良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0417/11708320/b81f2f96ae64/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0417/11708320/0876b1455867/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0417/11708320/fd0178e267d2/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0417/11708320/b81f2f96ae64/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0417/11708320/0876b1455867/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0417/11708320/fd0178e267d2/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0417/11708320/b81f2f96ae64/gr3.jpg

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1
Direct Insertion of a Dumon Stent Into an Intermediate Bronchus Fistula From the Surgical Field.将杜蒙支架直接从手术区域插入中间支气管瘘。
Ann Thorac Surg Short Rep. 2024 Apr 18;2(3):509-512. doi: 10.1016/j.atssr.2024.04.001. eCollection 2024 Sep.
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本文引用的文献

1
Interest of anatomical segmentectomy over lobectomy for lung cancer: a nationwide study.解剖性肺段切除术与肺叶切除术治疗肺癌的疗效比较：一项全国性研究。
J Thorac Dis. 2021 Jun;13(6):3587-3596. doi: 10.21037/jtd-20-2203.
2
Healing of bronchopleural fistula using a modified Dumon stent: a case report.使用改良杜蒙支架治疗支气管胸膜瘘：一例报告
J Cardiothorac Surg. 2006 Jun 23;1:16. doi: 10.1186/1749-8090-1-16.