Azorin J F, Francisci M P, Tremblay B, Larmignat P, Carvaillo D
Départment de Chirurgie thoracique et vasculaire, Hôpital Avicenne, Université Paris Nord, Bobigny.
Presse Med. 1996 May 18;25(17):805-6.
Disruption of a mainstream bronchus is a rare but dreaded complication of pneumonectomy. When the bronchial tump measures at least 15 mm, the conventional therapeutic strategy is to drain the pleural cavity followed by closure of the fistula via trans-mediastinal sternotomy. After an experimental study on cadavers to test the technical feasibility of main bronchus closure via a cervical approach using a video-mediastinoscope, we used video-assisted mediastinal surgery successfully in a patient with a left main bronchus fistula.
主支气管破裂是肺切除术中一种罕见但可怕的并发症。当支气管残端至少为15毫米时，传统的治疗策略是引流胸腔，然后通过经纵隔胸骨切开术闭合瘘管。在对尸体进行实验研究以测试使用视频纵隔镜经颈部入路闭合主支气管的技术可行性后，我们成功地在一名左主支气管瘘患者中使用了电视辅助纵隔手术。
