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“反向”背阔肌肌皮瓣用于闭合大型支气管胸膜瘘

"Reversed" latissimus dorsi musculocutaneous flap for closure of large bronchopleural fistula.

作者信息

Yanagihara K, Wada H, Yokomise H, Inui K, Suzuki Y, Hitomi S

机构信息

Department of Thoracic Surgery, Kyoto University, Japan.

出版信息

Thorac Cardiovasc Surg. 1997 Oct;45(5):256-8. doi: 10.1055/s-2007-1013741.

DOI:10.1055/s-2007-1013741
PMID:9402671
Abstract

The patient was a 54-year-old male with diabetes mellitus and liver abscess perforating into the right lung through the diaphragm. After right lower lobectomy of the lung, S3-segmentectomy of the liver, and debridement of the subdiaphragmatic abscess a bronchopleural fistula appeared. After open-drainage thoractomy, secondary operation for closure of a large bronchopleural fistula and obliteration of the empyema cavities was performed with a "reversed" latissimus dorsi musculocutaneous flap.

摘要

该患者为一名54岁男性,患有糖尿病,肝脏脓肿经膈肌穿破至右肺。在进行右肺下叶切除术、肝脏S3段切除术及膈下脓肿清创术后,出现了支气管胸膜瘘。在进行开放式胸腔引流术后,采用“翻转”背阔肌肌皮瓣对大型支气管胸膜瘘进行闭合及脓腔闭塞的二次手术。

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