Fukushima H, Hashimoto M, Sato Y, Oyama N, Izutsu T, Ishikawa K, Hamada Y, Kasai T, Ishimaru S, Furukawa K
Department of Surgery, Hoyo Hospital, Iwate Japan.
Kyobu Geka. 1995 Jul;48(7):595-8.
A 42-year-old man with giant bronchogenic cyst occupied from the middle and posterior mediastinum was treated surgically. The tumor was stoutly adhered to anterior aspect of the esophagus and membranous portion of the right bronchus. In dissecting the tumor, muscular coat of the esophagus was partly severed, which was repaired interruptedly with absorbable suture material. However, esophageal perforation was detected by barium swallow on the 3rd postoperative day. Conservative therapy included intrathoracic drainage and antibiotics was successfully undertaken. It is imperative to dissect the tumor very carefully if the giant bronchogenic cyst adheres to the esophagus or other surrounding organs.
一名42岁男性，患有起源于中纵隔和后纵隔的巨大支气管囊肿，接受了手术治疗。肿瘤与食管前方及右支气管膜部紧密粘连。在切除肿瘤时，食管肌层部分被切断，用可吸收缝合材料间断缝合修复。然而，术后第3天经钡餐检查发现食管穿孔。采取了包括胸腔引流和使用抗生素在内的保守治疗，取得了成功。如果巨大支气管囊肿与食管或其他周围器官粘连，在切除肿瘤时必须非常小心。
