OMENTOPLASTY FOR POSTPNEUMONECTOMY BRONCHOPLEURAL FISTULAS

被引：22

作者：

YOKOMISE, H

TAKAHASHI, Y

INUI, K

YAGI, K

MIZUNO, H

AOKI, M

WADA, H

HITOMI, S

机构：

[1] Department of Thoracic Surgery, Chest Disease Research Institute, Kyoto University, Kyoto, 606, 53 Shogoinkawaharacho, Sakyo-ku

来源：

EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY | 1994年 / 8卷 / 03期

关键词：

POSTPNEUMONECTOMY BRONCHOPLEURAL FISTULAS; EMPYEMA; OMENTOPLASTY;

D O I：

10.1016/1010-7940(94)90166-X

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Postpneumonectomy fistula is one of the most serious complications in general thoracic surgery and remains difficult to manage. From 1984 to 1991, we successfully used pedicled omentum for the treatment of postpneumonectomy bronchopleural fistulas (omentoplasty) in five patients, four of whom had thoracic empyema. For bronchopleural fistulas without early postoperative infection, single-stage closure was performed which was then covered with pedicled omentum. Omentoplasty was performed successfully in patients with thoracic empyema, after open or closed drainage. Open thoracotomy was useful when closed drainage was ineffective. Even after open thoracotomy, closure of the wound was achieved. All five patients could be discharged. Omentoplasty was useful in the therapy of postpneumonectomy bronchopleural fistula even in the presence of thoracic empyema.

引用

页码：122 / 124

页数：3

共 22 条

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