Онкология SLEEVE LOBECTOMY WITH UTTERMOST RESECTION OF THE BRONCHIAL TRUNK
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ONCOLOGY BULLETIN OF THE VOLGA REGION

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SLEEVE LOBECTOMY WITH UTTERMOST RESECTION OF THE BRONCHIAL TRUNK

E.N. Sinev1,2, D.A. Chichevatov1,2

1Penza Institute of Advanced Medical

2Regional Oncology Health Center, Penza

 

Chichevatov D.A. — D. Med. Sc., Professor of the Department of Surgery, OncologyandEndoscopy of Penza Institute of Advanced Medical, deputy chief physicianofthe medical unit of Regional Oncology Cancer Center

37a Stroiteley Av., Penza, Russian Federation, 440060, tel. (8412) 41-30-55, e-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра., Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра.

Abstract. In the present paper we explore the problem of bronchial ischemia after sleeve lobectomies on account of lung carcinoma. Mediastinal lymph-node dissection and transsection of the bronchus may result in circulation disorders in the bronchial wall with sequential ischemic bronchitis. This kind of pathology causes development of vital complications such as bronchopleural and bronchovascular fistulas. There may occur stenosis of the bronchial anastomosis in the long-term period. Technique of utmost excision of the bronchial trunk with covering of the bronchial anastomosis with pedicled diaphragm flap is presented in the research given. Using this technique may effectively help to escape either early or late anastomotic complications.

Key words: lung carcinoma, bronchoplasty, sleeve lobectomy, bronchovascular fistula.





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