Kobayashi K, Shimizu J, Omura K, Murakami S, Oda M, Hayashi Y, Ietsugu K, Sekido N, Kawasuji M, Watanabe Y
First Department of Surgery, School of Medicine, Kanazawa University, Japan.
Kyobu Geka. 1993 Apr;46(4):302-6.
We present a series of 8 consecutive patients who underwent the omental pedicle flap method in the field of thoracic surgery. Four of them had empyema with bronchopleural fistula and four had mediastinal infection. A pedicle of omentum containing the right gastroepiploic artery was passed through a tunnel in the diaphragm into the empyema cavity or the mediastinal abscess cavity. All eight patients were cured successfully by single-stage procedures. We think this series demonstrates the value of omental pedicle flap method which lacks in symptoms due to defected organ and offers an excellent therapeutic effect with easy operative procedure. And, this method produce a quality of life. Further active application of this method can be expected in the management of chest problems.
我们报告了连续8例在胸外科领域接受网膜蒂皮瓣手术的患者。其中4例患有脓胸合并支气管胸膜瘘，4例患有纵隔感染。将包含胃网膜右动脉的网膜蒂通过膈肌隧道送入脓胸腔或纵隔脓肿腔。所有8例患者均通过一期手术成功治愈。我们认为该系列病例证明了网膜蒂皮瓣手术的价值，该方法不会因器官缺损而产生症状，手术操作简便且治疗效果极佳。而且，这种方法能提高生活质量。预计该方法在胸部疾病的治疗中将得到更广泛的应用。
