[Invaginated bronchoplasty: wedge resection and sleeve reconstruction].
[Invaginated bronchoplasty: wedge resection and sleeve reconstruction].
复制标题
[内陷式支气管成形术：楔形切除和袖状重建]。
作者：
S. Nazari;G. Nascimbene;Z. Mourad;G. Fraipont
本报告的目的是说明右上肺叶切除术中的支气管成形技术，该技术等同于袖状切除术，但可以保留支气管壁的未受影响部分。该技术包括切除浸润的支气管壁，保留未受影响的部分。然后将远端支气管残端内陷到支气管主干中，使吻合线位于尽可能高的水平，理想情况下，如果进行标准袖状切除，则在该处进行吻合。通过U形3-0薇乔缝线完成吻合。该手术的主要优点可能是通过未受影响的支气管壁保留了体动脉支气管向远端残端的供应;由此产生的更有活力的远端残端可能减少缝合线愈合问题的发生率。
The purpose of this report is to illustrate a bronchoplastic technique in upper right lobectomy which is equivalent to sleeve resection but allows to preserve the unaffected portion of the bronchial wall. The technique consists in the resection of the infiltrated bronchial wall, sparing the unaffected part The distal bronchial stump is then invaginated into the stem bronchus in such a way that the anastomosis line is located at the highest possible level, ideally where it would be carried out if standard sleeve resection would be performed. The anastomosis is accomplished by U-Shaped, 3-0 vicryl sutures. The major advantage of this procedure is probably due to the preservation of the systemic artery bronchial supply to the distal stump passing through the unaffected bronchial wall; the resulting more vital distal stump may reduce incidence of suture line healing problems.