[A method of managing the bronchial stump after surgical and combined treatment of patients with cancer of the lung].
The authors developed a complex of measures for the prevention of purulent bronchopleural complications, among which the "stumpless" method of manual treatment of the bronchus is the principal measure. With this method, the incidence of a bronchial fistula reduced to 0.5% in lobe-bilobectomy and to 1.4% in pulmonectomy. Due to the sharp drop in the incidence of this complication, the total postoperative mortality reduced to 3.3%. The developed methods of manual treatment of the bronchus made it possible to level out the difference in the incidence of a bronchial fistula in surgical and combined treatment (preoperative radiotherapy), 2.1% and 3.9%, respectively. The "stumpless" methods of manual treatment of the bronchus in lung carcinoma improve the conditions for oncological radicalism of the operation and prevent economical losses by reducing the hospital stay of patients.
Trakhtenberg
A Kh
AKh
Popov
M I
MI
Zakharchenkov
A V
AV
Kim
I K
IK
D001980:Bronchi / Q000601:surgery*; D001983:Bronchial Fistula / Q000209:etiology / Q000517:prevention & control*; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D011013:Pneumonectomy / Q000009:adverse effects / Q000379:methods*; D011300:Preoperative Care; D011879:Radiotherapy Dosage; D013536:Suture Techniques
Metodika obrabotki kul'ti bronkha pri khirurgicheskom i kombinirovannom lechenii bol'nykh rakom legkogo.