Вестник хирургии имени И.И. Грекова (Feb 2017)

APPLICATION OF ENDOBRONCHIAL VALVES IN COMPLICATIONS OF THORACOSCOPIC SURGERY IN PATIENTS WITH BULLOUS EMPHYSEMA OF THE LUNGS

  • E. A. Drobyazgin,
  • Yu. V. Chikinyov,
  • M. S. Anikina

DOI
https://doi.org/10.24884/0042-4625-2017-176-1-20-24
Journal volume & issue
Vol. 176, no. 1
pp. 20 – 24

Abstract

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The article presents the results of valve bronchoblocation of 20 operated patients with bullous emphysema. These patients had an air leak in the area of drainage from the pleural cavity and lack of unfolding of the lung in postoperative period. All surgeries were performed under local anesthesia. A blocker was placed in the bronchus using flexible endoscope. There weren’t noted any complications during process of blocking. Positive dynamics was observed in the majority (15) patients during the first 3-5 hours after surgery. Venting was decreased on pleural drainages. Positive dynamics such as absence of air leaks on the drainage from the pleural cavity and unfolding of the lung had 17 patients. Drainages were removed from pleural cavity on 3-4 days in case of unfolding of the lung and air leakage absence. The results obtained indicated the possibility of method application in practice of surgical departments.

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