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原发性食管修复的胸膜外吸引支撑

Extrapleural suction buttress of primary esophageal repair.

作者信息

Takach T J, Gregoric I, Campbell J D

机构信息

Division of Cardiovascular and Thoracic Surgery, Texas Heart Institute, Houston 77030, USA.

出版信息

Tex Heart Inst J. 1997;24(4):356-8.

Abstract

Buttress reinforcement of a primary esophageal repair after perforation may diminish the potential for breakdown or leakage of the approximation. We describe a method of reinforcing a primary esophageal repair by using pleural tissue that is secured in place with an extrapleural, soft T-tube attached to a suction device. This technique is simple to apply and may maximize recovery of respiratory function by permitting timely removal of chest tubes.

摘要

穿孔后对一期食管修复进行支撑加固可降低吻合口破裂或渗漏的可能性。我们描述了一种利用胸膜组织加固一期食管修复的方法,该胸膜组织通过连接到吸引装置的胸膜外软T形管固定在位。该技术应用简单,通过及时拔除胸管可使呼吸功能最大限度地恢复。

相似文献

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Extrapleural exclusion of esophageal perforations.食管穿孔的胸膜外封堵术。
South Med J. 1984 Dec;77(12):1609-10. doi: 10.1097/00007611-198412000-00042.

本文引用的文献

1
IMPROVED OPERATION FOR ESOPHAGEAL RUPTURE.食管破裂的改良手术
JAMA. 1964 Jun 1;188:826-8. doi: 10.1001/jama.1964.03060350052018.
3
Operative and nonoperative management of esophageal perforations.食管穿孔的手术及非手术治疗
Ann Surg. 1981 Jul;194(1):57-63. doi: 10.1097/00000658-198107000-00010.
4
Extrapleural exclusion of esophageal perforations.食管穿孔的胸膜外封堵术。
South Med J. 1984 Dec;77(12):1609-10. doi: 10.1097/00007611-198412000-00042.
5
Closure of an esophagopleural fistula using onlay intercostal pedicle graft.
Ann Thorac Surg. 1967 Jun;3(6):553-7. doi: 10.1016/s0003-4975(10)66464-8.
7
'Spontaneous' perforation of the oesophagus treated by utilization of a pericardial flap.
Br J Surg. 1971 Jan;58(1):70-2. doi: 10.1002/bjs.1800580115.

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