Surgical treatment of chronic @entity57 using preventive latissimus dorsi XXXX .

@entity1 @entity57 @entity3509 @entity260 @entity281 @entity204 @entity121
BACKGROUND: Surgery for chronic @entity57 is often technically risky. The choice of immediate thoracoplasty or muscle flap plombage to prevent postoperative space problems remains controversial. This study focused on the use of @entity121 to prevent @entity260 . METHODS: During an 8-year period (2004 to 2012), all @entity1 surgically treated for chronic @entity57 were enrolled in this retrospective study. Concomitant intrathoracic transposition of the latissimus dorsi muscle flap has been performed since 2011. The clinical records of these @entity1 were reviewed retrospectively. RESULTS: From 2004 to 2012, 16 @entity1 were treated for chronic @entity57 . Fifteen @entity1 received lobectomies and one had a partial resection. A preventive latissimus dorsi muscle flap was used in 6 @entity1 (37  %). No postoperative @entity204 occurred. Prolonged air leaks appeared in 2 @entity1 without @entity121 , resulting in @entity3509 in both. None of the @entity1 with preventive @entity121 suffered prolonged air leaks and subsequent @entity3509 . In the outpatient clinic, late onset air leaks developed in 2 @entity1 , one of whom had a lobectomy with muscle flap while the other had a lobectomy without muscle flap. Residual pleural space persisted in these two @entity1 and @entity281 later recurred. CONCLUSIONS: Concomitant latissimus dorsi @entity121 may be effective for the prevention of prolonged air leaks and subsequent @entity3509 . Late onset air leaks are problematic.
