[改进气管切除吻合手术技术]。

Q4 Medicine Khirurgiya Pub Date : 2024-01-01 DOI:10.17116/hirurgia20240116
V D Parshin, V A Porkhanov, I S Polyakov, A L Kovalenko, V A Zhikharev, A V Parshin, M A Rusakov, V V Parshin
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引用次数: 0

摘要

摘要介绍近年来改进气管切除手术技术的现代方法:作者在气管手术方面拥有最丰富的经验(在过去的 50 年中收治了超过 2000 名患者)。在这么长的时间里,诊断能力、围手术期管理和手术技术都发生了变化。这涉及卡他性气管狭窄的分类建议、内窥镜和 X 射线诊断的特点、各种手术的适应症、手术方法的选择、气管切开后气管导管的移动和吻合技术。此外,还介绍了术后严重并发症的预防措施:作者凭借丰富的经验制定了一套气管狭窄患者的治疗方案,大大降低了术后并发症的发生率。这大大降低了术后并发症的发生率和死亡率。这种设备的推广与医院的技术支持以及由内窥镜医生、麻醉师、重症监护专家和胸外科医生组成的专家队伍的专业水平有关。
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[Improving surgical technique for tracheal resection with anastomosis].

Objective: To present modern aspects of improving surgical techniques in tracheal resection developed in recent years.

Material and methods: The authors have the most extensive experience in tracheal surgery (>2.000 patients over the past 50 years). Diagnostic capabilities, perioperative management and surgical techniques have changed over such a long period. This concerns the proposed classification of cicatricial tracheal stenosis, features of endoscopic and X-ray diagnostics, indications for various surgeries, choice of surgical approach, technique of tracheal tube mobilization and anastomosis after tracheal excision. Preventive measures for severe postoperative complications are described.

Conclusion: Such an extensive experience allowed the authors to develop an algorithm for the treatment of patients with tracheal stenosis. This significantly reduced the incidence of postoperative complications and mortality. Replication of such equipment is associated with technical support of hospitals and professional level of specialists consisting of endoscopist, anesthesiologist, intensive care specialist and thoracic surgeon.

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来源期刊
Khirurgiya
Khirurgiya Medicine-Medicine (all)
CiteScore
0.70
自引率
0.00%
发文量
161
期刊介绍: Хирургия отдельных областей сердце, сосуды легкие пищевод молочная железа желудок и двенадцатиперстная кишка кишечник желчевыводящие пути печень
期刊最新文献
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