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Parshin V.D.

National Medical Research Center for Phthisiopulmonology and Infectious Diseases;
Russian Medical Academy of Continuing Professional Education

Porkhanov V.A.

Research Center — Ochapovsky Regional Clinical Hospital No. 1

Polyakov I.S.

Research Center — Ochapovsky Regional Clinical Hospital No. 1

Kovalenko A.L.

Research Center — Ochapovsky Regional Clinical Hospital No. 1

Zhikharev V.A.

Research Center — Ochapovsky Regional Clinical Hospital No. 1

Parshin A.V.

Sechenov First Moscow State Medical University

Rusakov M.A.

Sechenov First Moscow State Medical University

Parshin V.V.

Sechenov First Moscow State Medical University

Improving surgical technique for tracheal resection with anastomosis

Authors:

Parshin V.D., Porkhanov V.A., Polyakov I.S., Kovalenko A.L., Zhikharev V.A., Parshin A.V., Rusakov M.A., Parshin V.V.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2024;(1): 6‑20

DOI: 10.17116/hirurgia20240116

Views: 723

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Table of contents

To cite this article:

Parshin VD, Porkhanov VA, Polyakov IS, et al. . Improving surgical technique for tracheal resection with anastomosis. Pirogov Russian Journal of Surgery. 2024;(1):6‑20. (In Russ.)
https://doi.org/10.17116/hirurgia20240116

Подписка 2025 (Pirogov Russian Journal of Surgery)
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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.

Keywords:

tracheal surgery
cicatricial tracheal stenosis
tracheal resection with anastomosis
complications
prevention of complications

Authors:

Parshin V.D.

National Medical Research Center for Phthisiopulmonology and Infectious Diseases;
Russian Medical Academy of Continuing Professional Education

Porkhanov V.A.

Research Center — Ochapovsky Regional Clinical Hospital No. 1

Polyakov I.S.

Research Center — Ochapovsky Regional Clinical Hospital No. 1

Kovalenko A.L.

Research Center — Ochapovsky Regional Clinical Hospital No. 1

Zhikharev V.A.

Research Center — Ochapovsky Regional Clinical Hospital No. 1

Parshin A.V.

Sechenov First Moscow State Medical University

Rusakov M.A.

Sechenov First Moscow State Medical University

Parshin V.V.

Sechenov First Moscow State Medical University

Received:

25.07.2023

Accepted:

10.08.2023

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