Palliative surgical correction of respiratory insufficiency in diffusive pulmonary emphysema

Gorbunkov S.D.; Varlamov V.V.; Cherny S.M.; Lukina O.V.; Kiryukhina L.D.; Romanikhin A.I.; Zinchenko A.V.; Akopov A.L.

doi:https://doi.org/10.17116/hirurgia20171052-56

Gorbunkov S.D.

Pavlov First St. Petersburg State Medical University of the Healthcare Ministry of the Russian Federation, St. Petersburg, Russia

Varlamov V.V.

Pavlov First St. Petersburg State Medical University of the Healthcare Ministry of the Russian Federation, St. Petersburg, Russia

Cherny S.M.

Pavlov First St. Petersburg State Medical University of the Healthcare Ministry of the Russian Federation, St. Petersburg, Russia

Lukina O.V.

Pavlov First St. Petersburg State Medical University of the Healthcare Ministry of the Russian Federation, St. Petersburg, Russia

Kiryukhina L.D.

Pavlov First St. Petersburg State Medical University of the Healthcare Ministry of the Russian Federation, St. Petersburg, Russia

Romanikhin A.I.

Pavlov First St. Petersburg State Medical University of the Healthcare Ministry of the Russian Federation, St. Petersburg, Russia

Zinchenko A.V.

Pavlov First St. Petersburg State Medical University of the Healthcare Ministry of the Russian Federation, St. Petersburg, Russia

Akopov A.L.

Department of Thoracic Surgery, The First Pavlov State Medical University, Saint Petersburg, Russia

ORCID: 0000-0001-8698-7018

Palliative surgical correction of respiratory insufficiency in diffusive pulmonary emphysema

Authors:

Gorbunkov S.D., Varlamov V.V., Cherny S.M., Lukina O.V., Kiryukhina L.D., Romanikhin A.I., Zinchenko A.V., Akopov A.L.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2017;(10): 52‑56

DOI: 10.17116/hirurgia20171052-56

Read: 1682 times

Download PDF (RU)

Contact the author

Table of contents

To cite this article:

Gorbunkov SD, Varlamov VV, Cherny SM, et al. . Palliative surgical correction of respiratory insufficiency in diffusive pulmonary emphysema. Pirogov Russian Journal of Surgery. 2017;(10):52‑56. (In Russ.)
https://doi.org/10.17116/hirurgia20171052-56

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

Использование инфографики авторами научных работ

Close metadata

Recommended articles:

Diaphragm dysfunction as a prognostic criterion of external respiratory impairment and necessary extracorporeal membrane oxygenation in patients with chronic heart failure. Russian Journal of Anesthesiology and Reanimatology. 2024;(6):38-45

Methodology and semiotics of lung ultrasound in ICU children. Russian Journal of Anesthesiology and Reanimatology. 2025;(2):90-100

Abstract:

Aim. To analyze early postoperative period in patients with diffuse pulmonary emphysema after palliative surgical correction of respiratory failure. Material and methods. The study included 196 patients who underwent bullectomy (n=111) and surgical reduction of pulmonary volume (n=85). Results and discussion. Overall morbidity and mortality were 40.8% and 12.2% respectively. Among patients older than 60 years these values were significantly higher (58.0% and 22.6% respectively). It was shown that age over 60 years is associated with high risk of complications and mortality after excision of large and giant bulls. In patients <60 years morbidity is comparable after bullectomy and surgical reduction of pulmonary volume. Conclusion. Selection of patients for palliative surgical correction of respiratory failure is generally corresponded to that for lung transplantation. However, these methods should be considered complementary rather competing.

Keywords:

pulmonary emphysema

respiratory insufficiency

palliative surgical correction

Authors:

Gorbunkov S.D.

Pavlov First St. Petersburg State Medical University of the Healthcare Ministry of the Russian Federation, St. Petersburg, Russia

Varlamov V.V.

Pavlov First St. Petersburg State Medical University of the Healthcare Ministry of the Russian Federation, St. Petersburg, Russia

Cherny S.M.

Pavlov First St. Petersburg State Medical University of the Healthcare Ministry of the Russian Federation, St. Petersburg, Russia

Lukina O.V.

Pavlov First St. Petersburg State Medical University of the Healthcare Ministry of the Russian Federation, St. Petersburg, Russia

Kiryukhina L.D.

Pavlov First St. Petersburg State Medical University of the Healthcare Ministry of the Russian Federation, St. Petersburg, Russia

Romanikhin A.I.

Pavlov First St. Petersburg State Medical University of the Healthcare Ministry of the Russian Federation, St. Petersburg, Russia

Zinchenko A.V.

Pavlov First St. Petersburg State Medical University of the Healthcare Ministry of the Russian Federation, St. Petersburg, Russia

Akopov A.L.

Department of Thoracic Surgery, The First Pavlov State Medical University, Saint Petersburg, Russia

ORCID: 0000-0001-8698-7018

Close metadata

References:

Khronicheskaya obstruktivnaya bolezn’ legkikh. Pod red. Chuchalina A.G. M.: Izdatel’stvo Atmosfera; 2011. (In Russ.)
Fishman A, Martinez F, Naunheim K, Piantadosi S, Wise R, Ries A, Weinmann G, Wood D. A randomized trial comparing lung-volume-reduction surgery with medical therapy for severe emphysema. New England Journal of Medicine.2003;348(21):2059-2073. https://doi.org/10.1016/s1062-1458(03)00324-6
Global initiative for Chronic Obstructive Pulmonary Disease. 2017. http://goldcopd.org/download/326/
Akopov AL, Gorbunkov SD, Chernyi SM, Varlamov VV, Lukina OV, Kiryukhina LD, Agishev AS, Gembitskaya TE. Surgical treatment of respiratory failure in young patients with diffuse lung emphysema. Vestnik khirurgii im. I.I. Grekova. 2012;171(6):27-31. (In Russ.)
Marchetti N, Criner G J. Surgical Approaches to Treating Emphysema: Lung Volume Reduction Surgery, Bullectomy, and Lung Transplantation. Seminar Respirathory Critical Care Medicine. 2015;36(4):592-608. https://doi.org/10.1055/s-0035-1556064
Yaitskii NA, Varlamov VV, Gorbunkov SD, Akopov AL, Chernyi SM, Lukina OV, Chermenskii AG, Gembitskaya TE. Results of surgical treatment of generalized emphysema of the lungs. Vestnik khirurgii im. I.I. Grekova. 2014;173(2):9-13. (In Russ.)