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Bagrov V.A.

P.A. Hertzen Moscow Research Institute of Oncology, Russian Federation, Moscow

Ryabov A.B.

Hertsen Moscow Oncology Research Center, Moscow, Russia

Pikin O.V.

FGBU "MNIOI im. P.A. Gertsena" Minzdrava Rossii

Kolbanov K.I.

Moskovskiĭ nauchno-issledovatel'skiĭ onkologicheskiĭ institut im. P.A. Gertsena Rosmedtekhnologiĭ

Glushko V.A.

P.A. Gertsen Moscow Research Cancer Institute, Russian Ministry of Health

Vursol D.A.

P.A. Hertzen Moscow Research Institute of Oncology, Russian Federation, Moscow

Amiraliyev A.M.

P.A. Gertsen Moscow Research Cancer Institute, Russian Ministry of Health

Rudakov R.V.

FGBU "Moskovskiĭ nauchno-issledovatel'skiĭ onkologicheskiĭ institut im. P.A. Gertsena" Minzdravsotsrazvitiia Rossii

Barmin V.V.

Moskovskiĭ gosudarstvennyĭ universitet im. M.V. Lomonosova;
Uchebno-nauchnyĭ meditsinskiĭ tsentr UD Prezidenta RF, Moskva

Complications after thoracoscopic lobectomy in patients with malignant lung tumors

Authors:

Bagrov V.A., Ryabov A.B., Pikin O.V., Kolbanov K.I., Glushko V.A., Vursol D.A., Amiraliyev A.M., Rudakov R.V., Barmin V.V.

More about the authors

Journal: P.A. Herzen Journal of Oncology. 2018;7(4): 26‑33

DOI: 10.17116/onkolog20187426

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To cite this article:

Bagrov VA, Ryabov AB, Pikin OV, et al. . Complications after thoracoscopic lobectomy in patients with malignant lung tumors. P.A. Herzen Journal of Oncology. 2018;7(4):26‑33. (In Russ.)
https://doi.org/10.17116/onkolog20187426

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Objective — to improve the immediate results of thoracoscopic anatomical lung resections as lobectomy in patients with malignant primary and metastatic lung tumors, by reducing the incidence of complications, through a systems analysis of the data of a specialized facility. Material and methods. The investigators used the 6-year (2010—2015 inclusive) data of the Thoracic Surgery Department, P.A. Herzen Moscow Oncology Research Institute, which performed 219 thoracoscopic anatomic lung resections (lobectomies), including 47 operations completed via thoracotomic access as a result of conversion. Complications following thoracoscopic surgery and that through conversion to thoracotomy were comparatively analyzed. Results. The overall incidence of complications after completed thoracoscopic operations was similar to that after conversion and amounted to 42 (24.4%) of 172 versus 11 (23.4%) of 47 (p>0.05). The incidence of prolonged postoperative lung parenchymal air leak was lower after thoracotomy, which was 4 (8.5%) of 47 than that after thoracoscopic surgery 25 (14.5%) of 172 (p>0.05. Cardiac arrhythmia was more common following conversion 3 (6.3%) of 47 versus 3 (1.7%) of 172 (p>0.05). Incompetent bronchial stump was not encountered in the conversion group and it was noted in one patient after thoracoscopic surgery. Conclusion. Thus, thoracoscopic lobectomy is a relatively safe surgical intervention. Intraoperative conversion does not lead to postoperative deterioration. The developed technique can achieve effective aerostasis, including that in patients with poorly pronounced interlobular fissures. Age over 70 years is an unfavorable risk factor for postoperative complications.

Keywords:

malignant lung tumors
thoracoscopic lobectomy
complications
video-assisted thoracoscopic surgery

Authors:

Bagrov V.A.

P.A. Hertzen Moscow Research Institute of Oncology, Russian Federation, Moscow

Ryabov A.B.

Hertsen Moscow Oncology Research Center, Moscow, Russia

Pikin O.V.

FGBU "MNIOI im. P.A. Gertsena" Minzdrava Rossii

Kolbanov K.I.

Moskovskiĭ nauchno-issledovatel'skiĭ onkologicheskiĭ institut im. P.A. Gertsena Rosmedtekhnologiĭ

Glushko V.A.

P.A. Gertsen Moscow Research Cancer Institute, Russian Ministry of Health

Vursol D.A.

P.A. Hertzen Moscow Research Institute of Oncology, Russian Federation, Moscow

Amiraliyev A.M.

P.A. Gertsen Moscow Research Cancer Institute, Russian Ministry of Health

Rudakov R.V.

FGBU "Moskovskiĭ nauchno-issledovatel'skiĭ onkologicheskiĭ institut im. P.A. Gertsena" Minzdravsotsrazvitiia Rossii

Barmin V.V.

Moskovskiĭ gosudarstvennyĭ universitet im. M.V. Lomonosova;
Uchebno-nauchnyĭ meditsinskiĭ tsentr UD Prezidenta RF, Moskva

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