Bronchial stump closure techniques after anatomic lung resections

Бармин, В. В.; Пикин, О. В.; Ryabov, А. B.; Амиралиев, А. М.

doi:10.17116/onkolog20187458

Cited by 2 publications

(1 citation statement)

References 46 publications

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“…Отмечены различия в частоте развития бронхоплевральной фистулы в зависимости от способа обработки культи бронха. Одни авторы демонстрируют преимущества механического шва перед ручным с частотой развития бронхоплеврального свища -1 и 4 % соответственно [1][2][3]. За последние десятилетия развиваются методики превентивной бронхопластики, которые направлены на снижение частоты развития несостоятельности культи бронха и бронхоплевральных свищей [4][5][6].…”

Section: оригинальные исследования введениеunclassified

Preventive Esophagomyobronchoplasty as a Reliable Prophylaxis of Bronchial Stump Failure and Bronchopleural Fistula after Pneumonectomy in Lung Cancer

Sulimanov,

Spassky,

Sulimanov

et al. 2023

Kreativnaâ hirurgiâ i onkologiâ

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Introduction. At present, bronchial stump failure after pneumonectomy ranges from 1% to 20%, and mortality — from 20 to 75%. In past decades, various methods of preventive bronchoplasty have been introduced and improved in order to reduce the incidence of the bronchial stump failure and bronchopleural fistula. However, the existing methods fail to prove their predominant effectiveness to be suggested as a “gold standard” for prevention of the bronchial stump failure during pneumonectomy. A method introduced by the authors enables an additional tissue mobilization with uncontrolled circulatory disturbance of the “biological flap” to be avoided. Aim. To evaluate the results and effectiveness of preventive esophagomyobronchoplasty in clinical practice. Materials and methods. The suture of “preventive esophagomyobronchoplasty” of the bronchial stump after pneumonectomy in lung cancer was developed and introduced into the clinical practice of the Thoracic Surgery Unit. The study involves a statistical analysis of bronchial stump failures as well as bronchopleural fistulas before and after the introduction of preventive esophagomyobronchoplasty. Results and discussion. A retrospective analysis of 224 clinical observations proves a zero probability of such complications after pneumonectomy as bronchial stump failure and bronchial fistula in case of preventive esophagomyobronchoplasty. The incidence of pleural empyema does not exceed 1.3%. Notably, pleural empyema implies longer duration of stay, additional examination, expensive drugs, as well as direct threatening life of a patient. Conclusion. Since 2015, when the new method of bronchial stump formation has been introduced into clinical practice, the rate of complications in the form of bronchial stump failure was reduced from 10.5% to 0%.

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Section: оригинальные исследования введениеunclassified

Preventive Esophagomyobronchoplasty as a Reliable Prophylaxis of Bronchial Stump Failure and Bronchopleural Fistula after Pneumonectomy in Lung Cancer

Sulimanov,

Spassky,

Sulimanov

et al. 2023

Kreativnaâ hirurgiâ i onkologiâ

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Comparative evaluation of the effectiveness of bronchial stump formation using titanium nickelide and lavsan thread implant

et al. 2022

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Titanium nickelide is a promising material for use in surgical practice, starting from hernia gate plasty with the use of mesh implant, including the use of this material in surgical interventions of internal organs. Considering that the wound healing by primary tension occurs when using this material, this material is suitable for the formation of a bronchial stump. The results of the study are presented in this paper. 18 operated rats underwent lobectomy and formation of the bronchial stump using the titanium nickelide implant in 9 rats and formation of the bronchial stump using the lavsan thread. The results of macroscopic, radiological, barometric, histological studies and the results of electron microscopy are described and demonstrated.

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Bronchial stump closure techniques after anatomic lung resections

Cited by 2 publications

References 46 publications

Preventive Esophagomyobronchoplasty as a Reliable Prophylaxis of Bronchial Stump Failure and Bronchopleural Fistula after Pneumonectomy in Lung Cancer

Preventive Esophagomyobronchoplasty as a Reliable Prophylaxis of Bronchial Stump Failure and Bronchopleural Fistula after Pneumonectomy in Lung Cancer

Comparative evaluation of the effectiveness of bronchial stump formation using titanium nickelide and lavsan thread implant

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