scholarly journals Preventive esophagomyobronchoplasty as a method to prevent the failure of the bronchial stump in pneumonectomy for lung cancer

2021 ◽  
Vol 102 (6) ◽  
pp. 940-945
Author(s):  
R A Sulimanov ◽  
R R Sulimanov ◽  
E S Spassky ◽  
T V Fedorova ◽  
M A Kholodova

Aim. Comparative analysis of insufficiency rate of bronchial stump sutures in pneumonectomy for lung cancer, depending on suturing techniques. Methods. A patented technique for bronchial stump suturing has been introduced into the practice of the GOBUZ clinic Novgorod Regional Clinical Hospital based on the Department of thoracic surgery since 2015 for pneumonectomy for lung cancer. Before the introduction of the developed technique, various generally accepted methods of bronchial stump forming were used (mechanical suture, manual suture, their combination, bronchial stump coverage with mediastinal pleura, pericardial flap). A retrospective analysis of 173 case histories and operational protocols of patients with lung cancer who underwent pneumonectomy was carried out for the failure of bronchial stump sutures when using conventional suturing techniques between 2010 and 2014 (the first group of patients). We also performed a retrospective and prospective analysis of 204 case histories and operational protocols of patients in a similar clinical group when using a patented suturing technique between 2015 and 2020 (the second group of patients). Statistical analysis was carried out by using Statistica 10.0 software (StatSoft, Inc. 2011). The qualitative and quantitative indicators were analyzed by using the Pearsons 2-test with Yatess correction. Results. A retrospective analysis shows that the failure rate in the use of generally accepted bronchial stump suturing techniques for 20102014 was 10.4%. After the implementation of the method of preventive esophagobronchomyoplasty, complications as bronchial stump suture failure were not detected in any case between 2015 and 2020. Conclusion. The study shows high efficiency, a decrease in the incidence of complications as the failure of bronchial stump sutures in the use of the developed method of preventive esophagomyobronchoplasty in pneumonectomy for lung cancer.

2001 ◽  
Vol 72 (4) ◽  
pp. 1155-1159 ◽  
Author(s):  
Dekang Fang ◽  
Dawei Zhang ◽  
Guojun Huang ◽  
Rugang Zhang ◽  
Liangjun Wang ◽  
...  

2013 ◽  
Vol 24 ◽  
pp. ix96
Author(s):  
R. Yoshino ◽  
Y. Tomizawa ◽  
K. Takei ◽  
T. Kuwako ◽  
A. Yoshii ◽  
...  

1994 ◽  
Vol 57 (8) ◽  
pp. 950-956 ◽  
Author(s):  
H Nakagawa ◽  
Y Miyawaki ◽  
T Fujita ◽  
S Kubo ◽  
K Tokiyoshi ◽  
...  

Author(s):  
S.A. Amansakhatov ◽  
◽  
A.P. Yalkabova ◽  

Purpose. To study the structure of hospital incidence of uveitis on the basis of a retrospective analysis of case histories of the International Center for Eye Diseases. Material and мethods. A retrospective analysis of the case histories of 896 patients with various forms of uveitis for 10 years (from 2011 to 2020) was carried out. Standard ophthalmological examination: visiometry, refractometry, tonometry, biomicroscopy, ophthalmoscopy,USB, OCT. Laboratory examination: general blood and urine analysis, biochemical and immunological blood tests. Results. The hospital incidence of uveitis was 6.5% with a slight predominance of females (53.3%) and a predominance of people living in rural areas (62.4%). Clinically and anatomically, the most common in the age groups from 31 to 60 years was the most common anterior uveitis 39.4% (n=353), followed by posterior uveitis in frequency – 38.3% (n=343), average uveitis – 7.9% (n=71) and panuveitis 2.2% (n=20). Unilateral lesion in 68.9% of patients. The etiological factor was established in 29.3% of patients, of which the largest group was infectious uveitis – 20.6% of cases. Most often, herpesvirus and cytomegalovirus were infectious agents (91.4%). Conclusion. The results of the study showed the need for expanding diagnostic methods, correcting the treatment strategy and tactics of managing this category of patients. Key words: uveitis, clinical features, morbidity.


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