[A new technique of closing bronchial stump in extended or combined pneumonectomy].
Extended or combined pneumonectomies were performed in 56 cases of advanced complicated non-small cell lung cancer. Bronchial stump was closed by a modification of Overholt's technique using a vascularised tissue flap. Postoperative complication rate was 66%, mortality--23% and bronchial fistula--1.8% (1 case). Our modification of Overholt's technique using a well vascularised flap from the pericardium, muscle or omentum effectively prevented bronchial fistula in cases of multiple risk and is indicated in all cases of surgery for advanced lung cancer.
Tarasov
V A
VA
Makhkamov
A S
AS
Sharov
Iu K
IuK
Boiarkin
G M
GM
Pobegalov
E S
ES
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001980:Bronchi / Q000601:surgery*; D001983:Bronchial Fistula / Q000209:etiology / Q000517:prevention & control*; D002289:Carcinoma, Non-Small-Cell Lung / Q000401:mortality / Q000601:surgery*; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000401:mortality / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy / Q000009:adverse effects / Q000379:methods* / Q000401:mortality; D012307:Risk Factors; D013524:Surgical Flaps / Q000098:blood supply; D013536:Suture Techniques