A.A. AKSARIN¹, M.D. TER-OVANESOV², A.A. MORDOVSKIY¹

¹Surgut District Clinical Hospital, 14 Energetikov St., Surgut, Russian Federation, 628408

²Russian National Research Medical University named after N.I. Pirogov, 1 Ostrovityanova St., Moscow, Russian Federation, 1179971

Askarin A.A. — Cand. Med. Sc., Head of Clinical-Diagnostic Center for Oncology, tel. (3462) 52-72-44, e-mail: alexaa1971@mail.ru

Ter-Ovanesov M.D. — D. Med. Sc., Professor of the Department of Oncology and Radiotherapy of Pediatric Faculty, tel. (495) 686-32-29, e-mail: termed@rambler.ru

Mordovskiy A.A. — oncologist, tel. (3462) 52-72-37, e-mail: mr.ma55a@mail.ru

The article describes the main methods of suturing the bronchus. The safest methods of bronchial closure are manual and mechanical stapling with BS apparatus. Using such devices as WS (wound stapling) and TL/TLH significantly increases the amount of bronchopleural fistula. This is due to the deterioration of the blood supply to the bronchus and, respectively, poor wound healing.

Key words: lung cancer, bronchopleural fistula, surgical treatment.

REFERENCES

1. Davydov M.I., Gantsev Sh.Kh. Atlas po onkologii [Atlas of oncology]. Moscow: OOO “Meditsinskoe informatsionnoe agentstvo”, 2008. 416 p.

2. Sostoyanie onkologicheskoy pomoshchi naseleniyu Khanty-Mansiyskogo avtonomnogo okruga v 2012 godu [Status of cancer care to the population of the Khanty-Mansiysk Autonomous Okrug in 2012]. Khanty-Mansiysk, 2013. 86 p.

3. Polotskiy B.E. Khirurgicheskoe lechenie nemelkokletochnogo raka legkogo (rezul’taty, faktory prognoza i biologicheskie osobennosti opukholi): avtoref. dis. … d-ra med. nauk [Surgical treatment of non-small cell lung cancer (results, prognostic factors and biological characteristics of the tumor). Synopsis of dis. Dr med. Sci.]. Moscow, 1995. 52 p.

4. Trakhtenberg A.Kh., Chissov V.I. Rak legkogo: rukovodstvo, atlas [Lung cancer: a guide, atlas]. Moscow: GEOTAR-Media, 2009. 656 p.

5. Rudin E.P., Birgin S.Kh. Sposoby zakrytiya kul’ti bronkha pri rezektsii legkikh [Ways to close the bronchial stump with pulmonary resection]. Moscow: TsOLIUV, 1990. 23 p.

6. Makarenko T.P., Kharitonov L.G., Bogdanov L.G. Vedenie bol’nykh obshchekhirurgicheskogo profilya v posleoperatsionnom periode [Management of patients with general surgical profile in the postoperative period]. Moscow: Meditsina, 1989. 352 p.

7. Asamura H., Kondo H., Tsuchiya R. Management of the bronchial stump in pulmonary resections: a review of 533 consecutive recent bronchial closures. European Journal Cardio-Thoracic Surgery, 2000, 17 (2), pp. 106-110.

8. Cardillo G., Galetta D., v. Schil P., Zuin A., Filosso P., Cerfolio R.J., Forcione A.R., Carleo F. Completion pneumonectomy: a multicentre international study on 165 patients. European Journal of Cardio-thoracic Surgery, 2012, 42 (3), pp. 405-409.

9. Sonobe M., Nakagawa M., Ichinose M., Ikegami N., Nagasawa M., Shindo T. Analysis of risk factors in bronchopleural fistula after pulmonary resection for primary lung cancer. European Journal Cardio-Thoracic Surgery, 2000, 18 (3), pp. 519-523.

10. Sirbu H., Busch T., Aleksic I., Schreiner W., Oster O., Dalichau H. Bronchopleural Fistula in the Surgery of Non-small Cell Lung Cancer: Incidence, Risk Factors, and Management. Ann Thorac Cardiovasc Surg., 2001, 7 (6), pp. 330-336.

11. Kolesnikov K.S., Gorelov F.I. Combined method of suturing the bronchial stump after pneumonectomy. Grudnaya khirurgiya, 1969, 2, pp. 75-80 (in Russ.).

12. Sweet R.H. Closure of the bronchial stump following lobectomy or pneumonectomy. Surgery, 1945, 18, pp. 82-84.

13. Operativnaya khirurgiya, pod red. prof. I. Littmanna [Operative Surgery, ed. prof. I.Littmann]. Budapesht: Izd-vo akademii nauk Vengrii, 1982. 1175 p.

14. Davydov M.I., Kiselevskiy M.V., Normantovich V.A., Polotskiy B.E. Novye vozmozhnosti kombinirovannogo lecheniya nemelkokletochnogo raka legkogo [New features of the combined treatment of lung cancer]. Materialy nauchno-prakticheskoy konferentsii “Torakal’naya khirurgiya i chastnye voprosy onkologii”. Saint Petersburg, 1996. Pp. 31-32.