Maassen W
Thorac Cardiovasc Surg. 1983 Oct;31(5):320-1. doi: 10.1055/s-2007-1022007.
When dealing with a left main bronchial stump fistula with chronic empyema, a contralateral extrapleural approach is recommended for reamputation and closure at both the proximal and distal sections. By these means a secure closure can be achieved and, at the same time, infection of the pleural cavity on the right side can be avoided, the preserved and unopened mediastinal pleura reliably covers the operative site, and postoperative respiratory disturbances can also be avoided.
处理左主支气管残端瘘合并慢性脓胸时，建议采用对侧胸膜外入路进行近端和远端的再次切除及闭合。通过这些方法可以实现牢固的闭合，同时避免右侧胸腔感染，保留且未打开的纵隔胸膜可靠地覆盖手术部位，还可避免术后呼吸功能紊乱。
