Nomori H, Horio H, Hasegawa T
Department of Surgery, Saiseikai Central Hospital, Tokyo, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1995 Jul;43(7):1073-6.
A 62-year-old woman suffered right empyema caused by methicillin-resistant staphylococcus aureus (MRSA) which occurred following a pancreatico-duodenectomy. After open drainage thoracotomy, intrathoracic transposition of the extended musculocutaneous (MC) flap of the latissimus dorsi was performed. The patient is now in good health, without recurrence of either the empyema or the carcinoma, 19 months after the operation. The MC flap, compared to muscle flap, has the advantages that (1) larger empyema cavities can be obliterated, and (2) the deformity of the thoracic wall can be minimized, because of the small range of resected rib segments and well-preserved volume of subcutaneous tissue in the flap long after transposition.
一名62岁女性在胰十二指肠切除术后发生耐甲氧西林金黄色葡萄球菌（MRSA）引起的右侧脓胸。在开胸引流术后，进行了背阔肌延长肌皮瓣的胸腔内移位。术后19个月，患者目前健康状况良好，脓胸和癌症均未复发。与肌瓣相比，肌皮瓣具有以下优点：（1）可以消除更大的脓腔；（2）由于移位后很长时间皮瓣中肋骨切除段范围小且皮下组织体积保存良好，胸壁畸形可减至最小。
