Kharchenko V P, Chkhikvadze V D
Vestn Khir Im I I Grek. 1984 Jan;132(1):21-6.
Resection of the lung with a wedge-shaped dissection of the bronchus opening followed by the transverse suturing of the defect of the bronchus and trachea by interrupted lavsan sutures on atraumatic needles is recommended by the authors for all diseases of the lungs. Their experience with 147 operations of this kind evidences a considerable reduction of the incidence of bronchial fistulas in the postoperative period. Out of 117 lobectomies with a wedge-shaped dissection of the opening of the lobar bronchus a bronchial fistula was found in 1 patient (0.9%).
作者建议,对于所有肺部疾病,采用楔形切除肺组织并对支气管开口进行楔形解剖,然后用无创伤针间断缝合支气管和气管缺损处的聚氯乙烯缝线。他们在147例此类手术中的经验表明,术后支气管瘘的发生率显著降低。在117例进行叶支气管开口楔形解剖的肺叶切除术中,仅1例(0.9%)出现支气管瘘。