Palliative surgical correction of respiratory insufficiency in diffusive pulmonary emphysema

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

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.

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

DOI: 10.17116/hirurgia20171052-56

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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 2025 (Pirogov Russian Journal of Surgery)

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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

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