Use of pleura, azygos vein, pericardium, and muscle flaps in tracheobronchial surgery.
Desmoplastic reactions secondary to adjuvant chemotherapy and radiation in stage IIIA lung cancer, plus advances in complex tracheobronchial surgery, have rejuvenated an interest for augmenting bronchial stump coverage and suture line reinforcement. We present the techniques and applications of harvesting pleural, azygos vein, pericardial flaps, and fat pad grafts, and intrathoracic transposition of chest wall muscle flaps.
Anderson
T M
TM
Department of Cardiothoracic Surgery, Emory University School of Medicine, Emory Clinic, Atlanta, Georgia 30308, USA.
Miller
J I
JI
D000273:Adipose Tissue / Q000637:transplantation; D001401:Azygos Vein / Q000637:transplantation*; D001980:Bronchi / Q000601:surgery*; D017024:Chemotherapy, Adjuvant; D006801:Humans; D008175:Lung Neoplasms / Q000628:therapy; D018482:Muscle, Skeletal / Q000637:transplantation*; D010496:Pericardium / Q000637:transplantation*; D010994:Pleura / Q000637:transplantation*; D011013:Pneumonectomy / Q000534:rehabilitation; D018714:Radiotherapy, Adjuvant; D013524:Surgical Flaps / Q000379:methods*; D013536:Suture Techniques; D014132:Trachea / Q000601:surgery*