Surgical Treatment of Bronchopleural Fistular Using Tissue Flap -4 Case Reports-

조직편을 이용한 기관지흉막루의 수술적 치료 -4례 보고-

  • Choe, Deok-Yeong (Dept.of Thoracic and Cardiovascular Surgery. College of Medicine. Chungang University) ;
  • Son, Dong-Seop (Dept.of Thoracic and Cardiovascular Surgery. College of Medicine. Chungang University) ;
  • Jo, Dae-Yun (Dept.of Thoracic and Cardiovascular Surgery. College of Medicine. Chungang University) ;
  • Yang, Gi-Min (Dept.of Thoracic and Cardiovascular Surgery. College of Medicine. Chungang University)
  • 최덕영 (중앙대학교 의과대학 흉부외과학교실) ;
  • 손동섭 (중앙대학교 의과대학 흉부외과학교실) ;
  • 조대윤 (중앙대학교 의과대학 흉부외과학교실) ;
  • 양기민 (중앙대학교 의과대학 흉부외과학교실)
  • Published : 1996.07.01

Abstract

Empyema with bronchopleural fistula is a serious complication after resectional surgery of the lung. Several methods in treating empyema with bronchopleural fistula have been developed, but the results were not always satisfactory. Recently, successful results have been reported with the surgical treatments using tissue flap (the omentum and f or the chest wall muscles) to close the bronchopleural fistula in patients with thoracic empyema. We have performed surgical procedures to treat bronchopleural fistula using omentum in 1 patient an chest wall muscles in 3 patients. Their postoperative courses were uneventful.

기관지흥막루를 동반한 농흥은 폐 수술이후 나타날 수 있는 심각한 합병증중의 하나이다. 이같은 기관지 흥막루를 동반한 농흥의 수술을 치료하는 몇가지 방법들이 있으나 그 결과는 언제나 만족스러운 것은 아니다. 최근 조직편 (대망, 흉벽근)을 이용하여 농흥환자에서 기관지흥막루를 막아 좋은 결과를 얻은 보고들이 나오고 있다. 우리는 1명의 환자에서 대망을, 3명의 환자에서 흉벽근을 이용하여 기관지흥막루를 막아주었다. 수술후 환자들은 특별한 문제없이 퇴원하였다.

Keywords

References

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