BRONCHOMALACIA AS A METHOD OF TREATMENT OF PROLONGED AIR LEAK AFTER THORACOSCOPIC INTERVENTIONS IN PATIENTS WITH BULLOUS EMPHYSEMA
Abstract
The objective of research. Effectiveness evaluation of valvular bronchial blocking in air leakage through drainage from the pleural cavity in the early postoperative period in patients with bullous emphysema. Material and methods of research. From 2010 to 2017 period 125 patients with bullous emphysema were operated in the Department of Thoracic Surgery of SBHF NSR “SNRCH” based on the Hospital and Children’s Surgery Medical Department of NSMU. All 125 patients underwent minimally invasive methods of operative treatment, which was the insertion criterion for research. Bullous changes in pulmonary tissue in patients were proved by multispiral computed tomography of thoracic organs. Among the patients the proportion of men was 69,6% (87 people), women 30,4% (38). The average age of the patients was 28,5±10,2 years. In the majority of patients (110 patients) bullas were localized in the upper lobes of the lungs, more often in the right lung. There were 88 cases of localization in the upper lobe of the right lung (the 1st and 2nd segments were in 87 cases, the 3d segment was in 1 case). 92 patients had a pneumothorax debut, 33 patients had pneumothorax in the anamnesis. Recurrence was single in 21 patients (63,6%), twice in 10 patients (30,4%), three or more in 2 patients (6,0%). 39 patients had an air leakage through the drainage from the pleural cavity for more than 2 days in the postoperative period. 21 of them underwent the bullas diathermocoagulation with a pleuralectomy.
References
1. Гасанов А.М., Пинчук Т.П., Данильян Ш.Н. и др. Эффективность клапанной бронхоблокации при бронхо-плевральных фистулах // Хирургия. - 2014. - №2. - С.22-24.
2. Левин А.В., Цеймах Е.А., Зимонин П.Е. и др. Применение эндобронхиального клапана в комплексном лечении больных ограниченным фиброзно-кавернозным туберкулезом легких // Проблемы клинической медицины. - 2013. - Т. 31. №2. - С.60-64.
3. Корымасов Б.А., Бенян А.С., Тепикин А.А. и др. Какому способу герметизации легкого отдать предпочтение? // Актуальные направления современной кардио-торакальной хирургии: Сборник тезисов III международного конгресса. - СПб., 2013. - С.104-105.
4. Ловачева О.В., Шумская И.Ю., Туровцева Ю.В. и др. Новые возможности нехирургического лечения больных фиброзно-кавернозным туберкулезом легких // Туберкулез и болезни легких. - 2013. - №4. - С.12-18.
5. Мазурин B.C., Харькин А.А., Аллахвердян А.С. и др. Результаты хирургического лечения больных первичным спонтанным пневмотораксом // Актуальные направления современной кардио-торакальной хирургии: Сборник тезисов III международного конгресса. - СПб., 2013. - С.86-87.
6. Фастаковский В.В., Чапайкин А.Н., Трапезников Е.В. Возможности видеоторакоскопии в практике торакального отделения // Актуальные направления современной кардио- торакальной хирургии: Сборник тезисов III международного конгресса. - СПб., 2013. - С.101-102.
7. Цеймах Е.А., Левин А.В., Швецов И.В. и др. Применение клапанной бронхоблокации и видеоторакоскопии в комплексном лечении пиопневмоторакса // Эндоскопическая хирургия. - 2011. - №2. - С.14-17.
8. Шефер Н.А., Топольницкий Е.Б. Организация хирургической помощи больным спонтанным пневмотораксом // Актуальные направления современной кардио-торакальной хирургии: Сборник тезисов III международного конгресса. - СПб., 2013. - С.78-79.
9. Boudaya M.S., Smadhi Н„ Zribi Н„ et al. Conservative management of postoperative bronchopleural fistulas // J. Thorac. Cardiovasc. Surg. - 2013. - Vol. 146. №3. - P.575-579.
10. Fruchter 0., Kramer M.R., Dagan T„ et al. Endobronchial closure of bronchopleural fistulae using amplatzer devices: our experience and literature review // Chest. - 2011. - Vol. 169. №3. - P.682-687.
11. Fruchter O., El Raouf B.A., Abdel-Rahman N., et al. Efficacy of bronchoscopic closure of a bronchopleural fistula with amplatzer devices: long-term follow-up // Respiration. - 2014. - Vol. 87. №3. - P.227-233.
12. Fruchter O., Bruckheimer E., Raviv Y., etal. Endobronchial closure of bronchopleural fistulas with Amplatzer vascular plug // Eur. J. Cardiothorac. Surg. - 2012. - Vol. 41. №1. - P.46-49.
13. Hatz R.A., Klotz L.V. Consequences of pneumonectomy in the early and late phases // Chirurg. - 2013. - Vol. 84. №6. - P.497-501.
14. Imamura F.. Okamoto N.. Inoue Т.. et al. Pneumothorax triggered by the combination of gefitinib and amrubicin and treated with endobronchial silicone spigots // Respir. Med. Case Rep. - 2015. - Vol. 15. №7. - P.42-44.
15. Ishida A.. Kida H.. Muraoka H.. et al. Intractable pneumothorax managed by talc pleurodesis and bronchial occlusion with spigots // Respirol. Case Rep. - 2015. - Vol. 3. №1. - P.13-15.
16. Klotz L.V., Gesierich W„ Schott-Hildebrand S., et al. Endobronchial closure of bronchopleural fistula using Amplatzer device // T. Thorac. Pis. - 2015. - Vol. 8. №8. - P.1478-1482.
17. LeeD.Y.. Shin Y.R.. Suh T. W.. et al. Treatment of intractable pneumothorax with emphysema using endobronchial watanabe spigots // Korean T. Thorac. Cardiovasc. Surg. - 2013. - Vol. 46. №3. - P.226-229.
18. Parrish S., Browning R.F., Turner J.F. Jr., et al. The role for medical thoracoscopy in pneumothorax // J. Thorac. Dis. - 2014. - Vol. 4. №6. - P.383-391.
19. Reed M.F.. Gilbert C.R.. Taylor M.D.. et al. Endobronchial Valves for Challenging Air Leaks // Ann. Thorac. Surg. - 2015. - Vol. 100. №4. -P. 1181-1186.
20. Ruizlzquierdo J., Ldzaro J.R., Prietol. G. Hydropneumothorax in a patient with bullous emphysema // Arch. Bronconeumol. - 2014. - Vol. 50. №5. - P.204.
21. Sasada S., Tamura K, Chang Y.S., et al. Clinical evaluation of endoscopic bronchial occlusion with silicone spigots for the management of persistent pulmonary air leaks // Intern. Med. - 2011. - Vol. 50. №11. - P.l 169-1173.
REFERENCES
1. Gacanov A.M., Pinchuk T.P., Danielyan Sh.N., et al. The 2. Levin A.V., Tseimach E.A., Zimonin P.E., et al. The use of effectiveness of the valve bronchoblocation with bronchopleural endobronchial valve in the complex treatment of patients with fistulas // Khirurgiya. - 2014. - №2. - P.22-24. (in Russian) limited fibrocavernous pulmonary tuberculosis // Problems of clinical medicine. - 2013. - Vol. 31. №2. - Р.60-64. (in Russian)
3. Korimasov E.A., Benyan A.S., Tepikin A.A., et al. Which method for sealing lung prefer? // Abstracts of the III International Congress “Actual trends of modern cardio-thoracic surgery”. - St. Petersburg, 2013. - P.104-105. (in Russian)
4. Lovacheva O.V., Shumskaya I.Yu., Turovtseva Yu.V., et al. New features non-surgical treatment of patients with fibro- cavernous lung tuberculosis // Tuberculos I Bolezni Legkikh. - 2013. - №4. - P.12-18. (in Russian)
5. Mazurin V.S., Harkin A.A., Allakhverdyan A.S., et al. The results of surgical treatment of patients with primary spontaneous pneumothorax // Abstracts of the III International Congress “Actual trends of modern cardio-thoracic surgery”. - St. Petersburg, 2013. - P.86-87. (in Russian)
6. Fastakovsky V.V., Chapaykin A.N., Trapeznikov E.V. Possibilities of video thoracoscopy in practice of thoracic unit // Abstracts of the III International Congress “Actual trends of modern cardio-thoracic surgery”. - St. Petersburg, 2013. - P.101- 102. (in Russian)
7. Tseymah E.A., Levin A.V., Shvetsov I.V., et al. Use of the valve and bronchoblocation videothoracoscopy in treatment pneumoempyema // Endoscopicheskaya khirurgiya. - 2011. - №2. - P.14-17. (in Russian)
8. Schefer N.A., Topolnitsky E.B. The organization of surgical care to patients with spontaneous pneumothorax // Abstracts of the III International Congress “Actual trends of modern cardio- thoracic surgery”. - St. Petersburg, 2013. - P.78-79. (in Russian)
9. Boudaya M.S., Smadhi H., Zribi H., et al. Conservative management of postoperative bronchopleural fistulas // J. Thorac. Cardiovasc. Surg. - 2013. - Vol. 146. №3. - P.575-579.
10. Fruchter O., Kramer M.R., Dagan Т., et al. Endobronchial closure of bronchopleural fistulae using amplatzer devices: our experience and literature review // Chest. - 2011. - Vol. 169. №3.
- P.682-687.
11. Fruchter O., El Raouf B.A., Abdel-Rahman N., et al. Efficacy of bronchoscopic closure of a bronchopleural fistula with amplatzer devices: long-term follow-up // Respiration. - 2014. - Vol. 87. №3. - P.227-233.
12. Fruchter O., Bruckheimer E., Raviv Y., etal. Endobronchial closure of bronchopleural fistulas with Amplatzer vascular plug // Eur. J. Cardiothorac. Surg. - 2012. - Vol. 41. №1. - P.46-49.
13. Hatz R.A., Klotz L.V. Consequences of pneumonectomy in the early and late phases // Chirurg. - 2013. - Vol. 84. №6. - P.497-501.
14. Imamura F.. Okamoto N.. Inoue Т.. et al. Pneumothorax triggered by the combination of gefitinib and amrubicin and treated with endobronchial silicone spigots // Respir. Med. Case Rep. - 2015. - Vol. 15. №7. - P.42-44.
15. Ishida A.. Kida H.. Muraoka H.. et al. Intractable pneumothorax managed by talc pleurodesis and bronchial occlusion with spigots // Respirol. Case Rep. - 2015. - Vol. 3. №1. - P.13-15.
16. Klotz L.V., Gesierich W„ Schott-Hildebrand S., et al. Endobronchial closure of bronchopleural fistula using Amplatzer device // T. Thorac. Pis. - 2015. - Vol. 8. №8. - P.1478-1482.
17. LeeD.Y.. Shin Y.R.. Suh T. W.. et al. Treatment of intractable pneumothorax with emphysema using endobronchial watanabe spigots // Korean T. Thorac. Cardiovasc. Surg. - 2013. - Vol. 46. №3. - P.226-229.
18. Parrish S., BrowningR.F., Turner J.F. Jr., etal. The role for medical thoracoscopy in pneumothorax // J. Thorac. Dis. - 2014. - Vol. 4. №6. - P.383-391.
19. Reed M.F.. Gilbert C.R.. Taylor M.D.. et al. Endobronchial Valves for Challenging Air Leaks // Ann. Thorac. Surg. - 2015. - Vol. 100. №4.-P. 1181-1186.
20. Ruizlzquierdo J., LdzaroJ.R., Prietol. G. Hydropneumothorax in a patient with bullous emphysema // Arch. Bronconeumol. - 2014. - Vol. 50. №5. - P.204.
21. Sasada S., Tamura K, Chang Y.S., et al. Clinical evaluation of endoscopic bronchial occlusion with silicone spigots for the management of persistent pulmonary air leaks // Intern. Med. - 2011. - Vol. 50. №11. - P.l 169-1173.
2. Левин А.В., Цеймах Е.А., Зимонин П.Е. и др. Применение эндобронхиального клапана в комплексном лечении больных ограниченным фиброзно-кавернозным туберкулезом легких // Проблемы клинической медицины. - 2013. - Т. 31. №2. - С.60-64.
3. Корымасов Б.А., Бенян А.С., Тепикин А.А. и др. Какому способу герметизации легкого отдать предпочтение? // Актуальные направления современной кардио-торакальной хирургии: Сборник тезисов III международного конгресса. - СПб., 2013. - С.104-105.
4. Ловачева О.В., Шумская И.Ю., Туровцева Ю.В. и др. Новые возможности нехирургического лечения больных фиброзно-кавернозным туберкулезом легких // Туберкулез и болезни легких. - 2013. - №4. - С.12-18.
5. Мазурин B.C., Харькин А.А., Аллахвердян А.С. и др. Результаты хирургического лечения больных первичным спонтанным пневмотораксом // Актуальные направления современной кардио-торакальной хирургии: Сборник тезисов III международного конгресса. - СПб., 2013. - С.86-87.
6. Фастаковский В.В., Чапайкин А.Н., Трапезников Е.В. Возможности видеоторакоскопии в практике торакального отделения // Актуальные направления современной кардио- торакальной хирургии: Сборник тезисов III международного конгресса. - СПб., 2013. - С.101-102.
7. Цеймах Е.А., Левин А.В., Швецов И.В. и др. Применение клапанной бронхоблокации и видеоторакоскопии в комплексном лечении пиопневмоторакса // Эндоскопическая хирургия. - 2011. - №2. - С.14-17.
8. Шефер Н.А., Топольницкий Е.Б. Организация хирургической помощи больным спонтанным пневмотораксом // Актуальные направления современной кардио-торакальной хирургии: Сборник тезисов III международного конгресса. - СПб., 2013. - С.78-79.
9. Boudaya M.S., Smadhi Н„ Zribi Н„ et al. Conservative management of postoperative bronchopleural fistulas // J. Thorac. Cardiovasc. Surg. - 2013. - Vol. 146. №3. - P.575-579.
10. Fruchter 0., Kramer M.R., Dagan T„ et al. Endobronchial closure of bronchopleural fistulae using amplatzer devices: our experience and literature review // Chest. - 2011. - Vol. 169. №3. - P.682-687.
11. Fruchter O., El Raouf B.A., Abdel-Rahman N., et al. Efficacy of bronchoscopic closure of a bronchopleural fistula with amplatzer devices: long-term follow-up // Respiration. - 2014. - Vol. 87. №3. - P.227-233.
12. Fruchter O., Bruckheimer E., Raviv Y., etal. Endobronchial closure of bronchopleural fistulas with Amplatzer vascular plug // Eur. J. Cardiothorac. Surg. - 2012. - Vol. 41. №1. - P.46-49.
13. Hatz R.A., Klotz L.V. Consequences of pneumonectomy in the early and late phases // Chirurg. - 2013. - Vol. 84. №6. - P.497-501.
14. Imamura F.. Okamoto N.. Inoue Т.. et al. Pneumothorax triggered by the combination of gefitinib and amrubicin and treated with endobronchial silicone spigots // Respir. Med. Case Rep. - 2015. - Vol. 15. №7. - P.42-44.
15. Ishida A.. Kida H.. Muraoka H.. et al. Intractable pneumothorax managed by talc pleurodesis and bronchial occlusion with spigots // Respirol. Case Rep. - 2015. - Vol. 3. №1. - P.13-15.
16. Klotz L.V., Gesierich W„ Schott-Hildebrand S., et al. Endobronchial closure of bronchopleural fistula using Amplatzer device // T. Thorac. Pis. - 2015. - Vol. 8. №8. - P.1478-1482.
17. LeeD.Y.. Shin Y.R.. Suh T. W.. et al. Treatment of intractable pneumothorax with emphysema using endobronchial watanabe spigots // Korean T. Thorac. Cardiovasc. Surg. - 2013. - Vol. 46. №3. - P.226-229.
18. Parrish S., Browning R.F., Turner J.F. Jr., et al. The role for medical thoracoscopy in pneumothorax // J. Thorac. Dis. - 2014. - Vol. 4. №6. - P.383-391.
19. Reed M.F.. Gilbert C.R.. Taylor M.D.. et al. Endobronchial Valves for Challenging Air Leaks // Ann. Thorac. Surg. - 2015. - Vol. 100. №4. -P. 1181-1186.
20. Ruizlzquierdo J., Ldzaro J.R., Prietol. G. Hydropneumothorax in a patient with bullous emphysema // Arch. Bronconeumol. - 2014. - Vol. 50. №5. - P.204.
21. Sasada S., Tamura K, Chang Y.S., et al. Clinical evaluation of endoscopic bronchial occlusion with silicone spigots for the management of persistent pulmonary air leaks // Intern. Med. - 2011. - Vol. 50. №11. - P.l 169-1173.
REFERENCES
1. Gacanov A.M., Pinchuk T.P., Danielyan Sh.N., et al. The 2. Levin A.V., Tseimach E.A., Zimonin P.E., et al. The use of effectiveness of the valve bronchoblocation with bronchopleural endobronchial valve in the complex treatment of patients with fistulas // Khirurgiya. - 2014. - №2. - P.22-24. (in Russian) limited fibrocavernous pulmonary tuberculosis // Problems of clinical medicine. - 2013. - Vol. 31. №2. - Р.60-64. (in Russian)
3. Korimasov E.A., Benyan A.S., Tepikin A.A., et al. Which method for sealing lung prefer? // Abstracts of the III International Congress “Actual trends of modern cardio-thoracic surgery”. - St. Petersburg, 2013. - P.104-105. (in Russian)
4. Lovacheva O.V., Shumskaya I.Yu., Turovtseva Yu.V., et al. New features non-surgical treatment of patients with fibro- cavernous lung tuberculosis // Tuberculos I Bolezni Legkikh. - 2013. - №4. - P.12-18. (in Russian)
5. Mazurin V.S., Harkin A.A., Allakhverdyan A.S., et al. The results of surgical treatment of patients with primary spontaneous pneumothorax // Abstracts of the III International Congress “Actual trends of modern cardio-thoracic surgery”. - St. Petersburg, 2013. - P.86-87. (in Russian)
6. Fastakovsky V.V., Chapaykin A.N., Trapeznikov E.V. Possibilities of video thoracoscopy in practice of thoracic unit // Abstracts of the III International Congress “Actual trends of modern cardio-thoracic surgery”. - St. Petersburg, 2013. - P.101- 102. (in Russian)
7. Tseymah E.A., Levin A.V., Shvetsov I.V., et al. Use of the valve and bronchoblocation videothoracoscopy in treatment pneumoempyema // Endoscopicheskaya khirurgiya. - 2011. - №2. - P.14-17. (in Russian)
8. Schefer N.A., Topolnitsky E.B. The organization of surgical care to patients with spontaneous pneumothorax // Abstracts of the III International Congress “Actual trends of modern cardio- thoracic surgery”. - St. Petersburg, 2013. - P.78-79. (in Russian)
9. Boudaya M.S., Smadhi H., Zribi H., et al. Conservative management of postoperative bronchopleural fistulas // J. Thorac. Cardiovasc. Surg. - 2013. - Vol. 146. №3. - P.575-579.
10. Fruchter O., Kramer M.R., Dagan Т., et al. Endobronchial closure of bronchopleural fistulae using amplatzer devices: our experience and literature review // Chest. - 2011. - Vol. 169. №3.
- P.682-687.
11. Fruchter O., El Raouf B.A., Abdel-Rahman N., et al. Efficacy of bronchoscopic closure of a bronchopleural fistula with amplatzer devices: long-term follow-up // Respiration. - 2014. - Vol. 87. №3. - P.227-233.
12. Fruchter O., Bruckheimer E., Raviv Y., etal. Endobronchial closure of bronchopleural fistulas with Amplatzer vascular plug // Eur. J. Cardiothorac. Surg. - 2012. - Vol. 41. №1. - P.46-49.
13. Hatz R.A., Klotz L.V. Consequences of pneumonectomy in the early and late phases // Chirurg. - 2013. - Vol. 84. №6. - P.497-501.
14. Imamura F.. Okamoto N.. Inoue Т.. et al. Pneumothorax triggered by the combination of gefitinib and amrubicin and treated with endobronchial silicone spigots // Respir. Med. Case Rep. - 2015. - Vol. 15. №7. - P.42-44.
15. Ishida A.. Kida H.. Muraoka H.. et al. Intractable pneumothorax managed by talc pleurodesis and bronchial occlusion with spigots // Respirol. Case Rep. - 2015. - Vol. 3. №1. - P.13-15.
16. Klotz L.V., Gesierich W„ Schott-Hildebrand S., et al. Endobronchial closure of bronchopleural fistula using Amplatzer device // T. Thorac. Pis. - 2015. - Vol. 8. №8. - P.1478-1482.
17. LeeD.Y.. Shin Y.R.. Suh T. W.. et al. Treatment of intractable pneumothorax with emphysema using endobronchial watanabe spigots // Korean T. Thorac. Cardiovasc. Surg. - 2013. - Vol. 46. №3. - P.226-229.
18. Parrish S., BrowningR.F., Turner J.F. Jr., etal. The role for medical thoracoscopy in pneumothorax // J. Thorac. Dis. - 2014. - Vol. 4. №6. - P.383-391.
19. Reed M.F.. Gilbert C.R.. Taylor M.D.. et al. Endobronchial Valves for Challenging Air Leaks // Ann. Thorac. Surg. - 2015. - Vol. 100. №4.-P. 1181-1186.
20. Ruizlzquierdo J., LdzaroJ.R., Prietol. G. Hydropneumothorax in a patient with bullous emphysema // Arch. Bronconeumol. - 2014. - Vol. 50. №5. - P.204.
21. Sasada S., Tamura K, Chang Y.S., et al. Clinical evaluation of endoscopic bronchial occlusion with silicone spigots for the management of persistent pulmonary air leaks // Intern. Med. - 2011. - Vol. 50. №11. - P.l 169-1173.
Published
2018-10-14
How to Cite
ЧИКИНЕВ, Юрий Владимирович et al.
BRONCHOMALACIA AS A METHOD OF TREATMENT OF PROLONGED AIR LEAK AFTER THORACOSCOPIC INTERVENTIONS IN PATIENTS WITH BULLOUS EMPHYSEMA.
Sibirskij Medicinskij Zurnal (Irkutsk) = Siberian Medical Journal (Irkutsk) 16+, [S.l.], v. 152, n. 1, p. 17-20, oct. 2018.
ISSN 1815-7572. Available at: <http://smj.ismu.baikal.ru/index.php/osn/article/view/268>. Date accessed: 01 jan. 2026.
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Original research
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