Tracheobronchial stenting in patients with non-resectable tumors complicated by airway stenosis

Samsonyan E.Kh.

Evdokimov Moscow State University of Medicine and Dentistry;
Centrosoyuz Hospital of the Russian Federation

Emelyanov S.I.

Evdokimov Moscow State University of Medicine and Dentistry

RSCI AuthorID: 526110
Scopus AuthorID: 6603872681
ORCID: 0000-0002-2575-1842

Kurganov I.A.

Yevdokimov Moscow State University of Medicine and Dentistry of the Ministry of Health of the Russian Federation

ORCID: 0000-0003-0968-3955

Bogdanov D.Yu.

Evdokimov Moscow State University of Medicine and Dentistry

Sekundova M.A.

Centrosoyuz Hospital of the Russian Federation

Frolova E.V.

Mechnikov North-Western State Medical University

SPIN RSCI: 1212-0030
Scopus AuthorID: 37037140300
ResearcherID: O-4134-2014
ORCID: 0000-0002-5569-5175

Bashirov R.A.

Centrosoyuz Hospital of the Russian Federation

Tracheobronchial stenting in patients with non-resectable tumors complicated by airway stenosis

Authors:

Samsonyan E.Kh., Emelyanov S.I., Kurganov I.A., Bogdanov D.Yu., Sekundova M.A., Frolova E.V., Bashirov R.A.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2022;(12): 41‑49

DOI: 10.17116/hirurgia202212141

Downloaded: 32

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To cite this article:

Samsonyan EKh, Emelyanov SI, Kurganov IA, Bogdanov DYu, Sekundova MA, Frolova EV, Bashirov RA. Tracheobronchial stenting in patients with non-resectable tumors complicated by airway stenosis. Pirogov Russian Journal of Surgery. 2022;(12):41‑49. (In Russ.)
https://doi.org/10.17116/hirurgia202212141

Подписка 2025-2 (Pirogov Russian Journal of Surgery)

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OBJECTIVE

To study the results and efficiency of tracheobronchial stenting in patients with unresectable tumors complicated by stenosis of central airways.

MATERIAL AND METHODS

We analyzed the results of tracheobronchial stenting in 23 patients with unresectable tumors complicated by stenosis of central airways between 2016 and 2021.

RESULTS

Technical and clinical success rate was 100%. No intraoperative complications were noted. Dyspnea regressed in all patients in early postoperative period. Moreover, there was objective improvement in lung ventilation with increase in lung capacity (from 2.1±0.4 to 2.7±0.5 l; p<0.05), forced expiratory volume (from 1.2±0.5 to 1.8±0.4 l; p<0.05), partial pressure of oxygen in arterial blood (from 47±7.4 to 85±6.3 mm Hg; p<0.05) and arterial oxygen saturation (from 86.1±8.2 to 93.1±5.1%; p<0.05). One patient developed massive bleeding due to tumor decay on the 3^rd day after surgery. In 2 patients, stent obturation with a «mucus plug» was observed after 2—3 postoperative days. In 3 months after surgery, 21.8% of patients had disturbances of external respiration accompanied by mild dyspnea due to granulation tissue growth. Stent migration in 3 months after endoscopic stenting was recorded in 1 patient. Three-month mortality was 26.1%.

CONCLUSION

Tracheobronchial stenting is a safe and effective minimally invasive surgical intervention. As a part of palliative care, this procedure improves functional and clinical parameters of pulmonary ventilation and reduces the incidence of complications. Thus, quality of life in patients with unresectable tumors complicated by airway stenosis is improved.

Keywords:

endoscopic tracheal stenting

endoscopic bronchial stenting

lung cancer

metal stent

palliative medicine

Authors:

Samsonyan E.Kh.

Evdokimov Moscow State University of Medicine and Dentistry;
Centrosoyuz Hospital of the Russian Federation

Emelyanov S.I.

Evdokimov Moscow State University of Medicine and Dentistry

RSCI AuthorID: 526110
Scopus AuthorID: 6603872681
ORCID: 0000-0002-2575-1842

Kurganov I.A.

Yevdokimov Moscow State University of Medicine and Dentistry of the Ministry of Health of the Russian Federation

ORCID: 0000-0003-0968-3955

Bogdanov D.Yu.

Evdokimov Moscow State University of Medicine and Dentistry

Sekundova M.A.

Centrosoyuz Hospital of the Russian Federation

Frolova E.V.

Mechnikov North-Western State Medical University

SPIN RSCI: 1212-0030
Scopus AuthorID: 37037140300
ResearcherID: O-4134-2014
ORCID: 0000-0002-5569-5175

Bashirov R.A.

Centrosoyuz Hospital of the Russian Federation

Received:

11.03.2022

Accepted:

10.04.2022

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