| 摘要 |
FIELD: medicine.SUBSTANCE: invention refers to medicine, namely to thoracic surgery, and can be used in the surgical management of bronchopleural fistula following total lung removal. The method involves a circular resection of a tracheal bifurcation together with a primary bronchus stump of the removed lung. An access is exercised through an opposite non-infected pleural cavity. A mediastinum fenestration to the opposite non-infected pleural cavity is closed and sealed with a mediastinal vascularised pleurocellular flap. An end-to-end anastomosis is formed between the trachea and primary bronchus of the preserved lung.EFFECT: method enables increasing the clinical effectiveness in bronchopleural fistula, reducing a probability of postoperative complications by using an access through the opposite non-infected pleural cavity, performing the circular resection of the tracheal bifurcation together with the primary bronchus stump of the removed lung, suturing the anastomosis through the intact tissues of the tracheal and primary bronchus wall, displacing a tracheobronchial anastomosis line into the mediastinum above the level of the closed fistulous passage.4 dwg, 1 ex |
