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Трахеобронхопластические резекции при раке легкого
Трахеобронхопластические резекции при раке легкого
Хвастунов Р.А., Усачев А.А. Трахеобронхопластические резекции при раке легкого. Современная Онкология. 2016; 18 (3): 69–74.
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Аннотация
Представлен собственный опыт 72 бронхопластических операций, из них 11 пневмонэктомий с резекцией бифуркации трахеи, 61 лоб- и билобэктомий, включая 13 ангиобронхопластических вмешательств. Послеоперационных осложнений и летальности не получено. Обсуждены показания и техника выполнения операций.
Ключевые слова: рак легкого, трахеобронхопластические операции.
Key words: lung cancer, tracheobronchoplastic operations.
Ключевые слова: рак легкого, трахеобронхопластические операции.
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Key words: lung cancer, tracheobronchoplastic operations.
Полный текст
Список литературы
1. Thomas CP, Clement S. Conservative resection of the bronchial tree. J Roy Coll Surg Elinb 1956; 1: 169.
2. Mac Hale SJ. Carcinoma of the bronchus: survival following conservative resection. Thorax 1966; 21: 343–6.
3. Jonston JB, Jones PH. The treatment of bronchial carcinoma by lobectomy and sleeve resection of the main bronchus. Thorax 1959; 14: 48–53.
4. Abbot OA. Experiences with the surgical resection of the human carina, tracheal wall, and contralateral bronchial wall in cases of right total pneumonectomy. J Thorac Surg 1950; 19 (6): 906–22.
5. Dartevelle P, Macchiarini P, Chapelier А. Tracheal sleeve pneumonectomy for bronchogenic carcinoma: report of 55 cases. Ann Thorac Surg 1995; 60: 1854–5.
6. Mathey J, Binet JF, Galey JJ et al. Tracheal and tracheobronchial resections. Technique and results in 20 cases. J Thorac Cardiovasc Surg 1966; 51: 1–13.
7. Jensik RJ, Faber LP, Kittle CF et al. Survival in patients undergoing tracheal sleeve pneumonectomy for bronchogenic carcinoma. J Thorac Cardiovasc Surg 1982; 84: 489–97.
8. Deslauriers J, Beaulieu M, Benazera A et al. Sleeve pneumonectomy for bronchogenic carcinoma. Ann Thorac Surg 1979; 28: 465–74.
9. Roviaro G, Vergani C, Maciocco M et al. Tracheal sleeve pneumonectomy: Long-term outcome. Lung Cancer 2006; 52 (1): 105–10.
10. Eichhorn F, Storz K, Hoffmann H et al. Sleeve Pneumonectomy for Central Non-Small Cell Lung Cancer: Indications, Complications, and Survival. Ann Thorac Surg 2013; 96 (1): 253–8.
11. Jensik RJ, Faber LP, Milloy FJ et al. Tracheal sleeve pneumonectomy for advanced carcinoma of the lung. Surg Gynecol Obstet 1972; 134: 231–6.
12. Porhanov VA, Poliakov IS, Selvaschuk AP et al. Indications and results of sleeve carinal resection. Eur J Cardiothorac Surg 2002; 22: 685–94.
13. Давыдов М.И., Полоцкий Б.Е., Матякин Е.Г. и др. Современные возможности трахео-бронхопластических операций в хирургии злокачественных опухолей. Материалы общества онкологов Москвы и Московской области. Заседание 525. 2006. / Davydov M.I., Polotskii B.E., Matiakin E.G. i dr. Sovremennye vozmozhnosti trakheo-bronkhoplasticheskikh operatsii v khirurgii zlokachestvennykh opukholei. Materialy obshchestva onkologov Moskvy i Moskovskoi oblasti. Zasedanie 525. 2006. [in Russian]
14. Харченко В.П., Паньшин Г.А., Чхиквадзе В.Д. и др. Перспективы комбинированного и хирургического лечения рака легкого. Материалы V Всероссийского съезда онкологов. Т. 2. Казань, 2000; с. 42–4. / Kharchenko V.P., Pan'shin G.A., Chkhikvadze V.D. i dr. Perspektivy kombinirovannogo i khirurgicheskogo lecheniia raka legkogo. Materialy V Vserossiiskogo s"ezda onkologov. T. 2. Kazan', 2000; s. 42–4. [in Russian]
15. Rea F, Marulli G, Schiavon M et al. Tracheal sleeve pneumonectomy for non small cell lung cancer (NSCLC): short and long-term results in a single institution. Lung Cancer 2008; 61 (2): 202–8.
16. Mitchell JD, Mathisen DJ, Wright CD et al. Resection for bronchogenic carcinoma involving the carina: long-term results and effect of nodal status on outcome. J Thorac Cardiovasc Surg 2001; 121: 465–71.
17. Grillo HC. Carinal reconstruction. Ann Thorac Surg 1982; 34: 356–74.
18. Salzer GM, Muller LC, Kroesen G. Resection of the tracheal bifurcation through a left thoracotomy. Eur J Cardiothorac Surg 1987; 1: 125–30.
19. Gilbert A, Deslauriers J, McClish A et al. Tracheal sleeve pneumonectomy for carcinomas of the proximal left main bronchus. Can J Surg 1984; 27: 583–90.
20. Dartevelle P, Macchiarini P, Chapelier AR. Tracheal sleeve pneumonectomy for bronchogenic carcinoma: report of 55 cases. Ann Thorac Surg 1995; 60: 1854–5.
21. Mathisen D.J: Carinal reconstruction: techniques and problems. Semin Thorac Cardiovasc Surg 1996; 8: 403–8.
22. Гиллер Б.М., Гиллер Д.Б., Гиллер Г.В. Способ правосторонней пневмонэктомии с обширной циркулярной резекцией трахеи и ее бифуркации. Патент на изобретение (RU 2058114). / Giller B.M., Giller D.B., Giller G.V. Sposob pravostoronnei pnevmonektomii s obshirnoi tsirkuliarnoi rezektsiei trakhei i ee bifurkatsii. Patent na izobretenie (RU 2058114). [in Russian]
2. Mac Hale SJ. Carcinoma of the bronchus: survival following conservative resection. Thorax 1966; 21: 343–6.
3. Jonston JB, Jones PH. The treatment of bronchial carcinoma by lobectomy and sleeve resection of the main bronchus. Thorax 1959; 14: 48–53.
4. Abbot OA. Experiences with the surgical resection of the human carina, tracheal wall, and contralateral bronchial wall in cases of right total pneumonectomy. J Thorac Surg 1950; 19 (6): 906–22.
5. Dartevelle P, Macchiarini P, Chapelier А. Tracheal sleeve pneumonectomy for bronchogenic carcinoma: report of 55 cases. Ann Thorac Surg 1995; 60: 1854–5.
6. Mathey J, Binet JF, Galey JJ et al. Tracheal and tracheobronchial resections. Technique and results in 20 cases. J Thorac Cardiovasc Surg 1966; 51: 1–13.
7. Jensik RJ, Faber LP, Kittle CF et al. Survival in patients undergoing tracheal sleeve pneumonectomy for bronchogenic carcinoma. J Thorac Cardiovasc Surg 1982; 84: 489–97.
8. Deslauriers J, Beaulieu M, Benazera A et al. Sleeve pneumonectomy for bronchogenic carcinoma. Ann Thorac Surg 1979; 28: 465–74.
9. Roviaro G, Vergani C, Maciocco M et al. Tracheal sleeve pneumonectomy: Long-term outcome. Lung Cancer 2006; 52 (1): 105–10.
10. Eichhorn F, Storz K, Hoffmann H et al. Sleeve Pneumonectomy for Central Non-Small Cell Lung Cancer: Indications, Complications, and Survival. Ann Thorac Surg 2013; 96 (1): 253–8.
11. Jensik RJ, Faber LP, Milloy FJ et al. Tracheal sleeve pneumonectomy for advanced carcinoma of the lung. Surg Gynecol Obstet 1972; 134: 231–6.
12. Porhanov VA, Poliakov IS, Selvaschuk AP et al. Indications and results of sleeve carinal resection. Eur J Cardiothorac Surg 2002; 22: 685–94.
13. Davydov M.I., Polotskii B.E., Matiakin E.G. i dr. Sovremennye vozmozhnosti trakheo-bronkhoplasticheskikh operatsii v khirurgii zlokachestvennykh opukholei. Materialy obshchestva onkologov Moskvy i Moskovskoi oblasti. Zasedanie 525. 2006. [in Russian]
14. Kharchenko V.P., Pan'shin G.A., Chkhikvadze V.D. i dr. Perspektivy kombinirovannogo i khirurgicheskogo lecheniia raka legkogo. Materialy V Vserossiiskogo s"ezda onkologov. T. 2. Kazan', 2000; s. 42–4. [in Russian]
15. Rea F, Marulli G, Schiavon M et al. Tracheal sleeve pneumonectomy for non small cell lung cancer (NSCLC): short and long-term results in a single institution. Lung Cancer 2008; 61 (2): 202–8.
16. Mitchell JD, Mathisen DJ, Wright CD et al. Resection for bronchogenic carcinoma involving the carina: long-term results and effect of nodal status on outcome. J Thorac Cardiovasc Surg 2001; 121: 465–71.
17. Grillo HC. Carinal reconstruction. Ann Thorac Surg 1982; 34: 356–74.
18. Salzer GM, Muller LC, Kroesen G. Resection of the tracheal bifurcation through a left thoracotomy. Eur J Cardiothorac Surg 1987; 1: 125–30.
19. Gilbert A, Deslauriers J, McClish A et al. Tracheal sleeve pneumonectomy for carcinomas of the proximal left main bronchus. Can J Surg 1984; 27: 583–90.
20. Dartevelle P, Macchiarini P, Chapelier AR. Tracheal sleeve pneumonectomy for bronchogenic carcinoma: report of 55 cases. Ann Thorac Surg 1995; 60: 1854–5.
21. Mathisen D.J: Carinal reconstruction: techniques and problems. Semin Thorac Cardiovasc Surg 1996; 8: 403–8.
22. Giller B.M., Giller D.B., Giller G.V. Sposob pravostoronnei pnevmonektomii s obshirnoi tsirkuliarnoi rezektsiei trakhei i ee bifurkatsii. Patent na izobretenie (RU 2058114). [in Russian]
2. Mac Hale SJ. Carcinoma of the bronchus: survival following conservative resection. Thorax 1966; 21: 343–6.
3. Jonston JB, Jones PH. The treatment of bronchial carcinoma by lobectomy and sleeve resection of the main bronchus. Thorax 1959; 14: 48–53.
4. Abbot OA. Experiences with the surgical resection of the human carina, tracheal wall, and contralateral bronchial wall in cases of right total pneumonectomy. J Thorac Surg 1950; 19 (6): 906–22.
5. Dartevelle P, Macchiarini P, Chapelier А. Tracheal sleeve pneumonectomy for bronchogenic carcinoma: report of 55 cases. Ann Thorac Surg 1995; 60: 1854–5.
6. Mathey J, Binet JF, Galey JJ et al. Tracheal and tracheobronchial resections. Technique and results in 20 cases. J Thorac Cardiovasc Surg 1966; 51: 1–13.
7. Jensik RJ, Faber LP, Kittle CF et al. Survival in patients undergoing tracheal sleeve pneumonectomy for bronchogenic carcinoma. J Thorac Cardiovasc Surg 1982; 84: 489–97.
8. Deslauriers J, Beaulieu M, Benazera A et al. Sleeve pneumonectomy for bronchogenic carcinoma. Ann Thorac Surg 1979; 28: 465–74.
9. Roviaro G, Vergani C, Maciocco M et al. Tracheal sleeve pneumonectomy: Long-term outcome. Lung Cancer 2006; 52 (1): 105–10.
10. Eichhorn F, Storz K, Hoffmann H et al. Sleeve Pneumonectomy for Central Non-Small Cell Lung Cancer: Indications, Complications, and Survival. Ann Thorac Surg 2013; 96 (1): 253–8.
11. Jensik RJ, Faber LP, Milloy FJ et al. Tracheal sleeve pneumonectomy for advanced carcinoma of the lung. Surg Gynecol Obstet 1972; 134: 231–6.
12. Porhanov VA, Poliakov IS, Selvaschuk AP et al. Indications and results of sleeve carinal resection. Eur J Cardiothorac Surg 2002; 22: 685–94.
13. Давыдов М.И., Полоцкий Б.Е., Матякин Е.Г. и др. Современные возможности трахео-бронхопластических операций в хирургии злокачественных опухолей. Материалы общества онкологов Москвы и Московской области. Заседание 525. 2006. / Davydov M.I., Polotskii B.E., Matiakin E.G. i dr. Sovremennye vozmozhnosti trakheo-bronkhoplasticheskikh operatsii v khirurgii zlokachestvennykh opukholei. Materialy obshchestva onkologov Moskvy i Moskovskoi oblasti. Zasedanie 525. 2006. [in Russian]
14. Харченко В.П., Паньшин Г.А., Чхиквадзе В.Д. и др. Перспективы комбинированного и хирургического лечения рака легкого. Материалы V Всероссийского съезда онкологов. Т. 2. Казань, 2000; с. 42–4. / Kharchenko V.P., Pan'shin G.A., Chkhikvadze V.D. i dr. Perspektivy kombinirovannogo i khirurgicheskogo lecheniia raka legkogo. Materialy V Vserossiiskogo s"ezda onkologov. T. 2. Kazan', 2000; s. 42–4. [in Russian]
15. Rea F, Marulli G, Schiavon M et al. Tracheal sleeve pneumonectomy for non small cell lung cancer (NSCLC): short and long-term results in a single institution. Lung Cancer 2008; 61 (2): 202–8.
16. Mitchell JD, Mathisen DJ, Wright CD et al. Resection for bronchogenic carcinoma involving the carina: long-term results and effect of nodal status on outcome. J Thorac Cardiovasc Surg 2001; 121: 465–71.
17. Grillo HC. Carinal reconstruction. Ann Thorac Surg 1982; 34: 356–74.
18. Salzer GM, Muller LC, Kroesen G. Resection of the tracheal bifurcation through a left thoracotomy. Eur J Cardiothorac Surg 1987; 1: 125–30.
19. Gilbert A, Deslauriers J, McClish A et al. Tracheal sleeve pneumonectomy for carcinomas of the proximal left main bronchus. Can J Surg 1984; 27: 583–90.
20. Dartevelle P, Macchiarini P, Chapelier AR. Tracheal sleeve pneumonectomy for bronchogenic carcinoma: report of 55 cases. Ann Thorac Surg 1995; 60: 1854–5.
21. Mathisen D.J: Carinal reconstruction: techniques and problems. Semin Thorac Cardiovasc Surg 1996; 8: 403–8.
22. Гиллер Б.М., Гиллер Д.Б., Гиллер Г.В. Способ правосторонней пневмонэктомии с обширной циркулярной резекцией трахеи и ее бифуркации. Патент на изобретение (RU 2058114). / Giller B.M., Giller D.B., Giller G.V. Sposob pravostoronnei pnevmonektomii s obshirnoi tsirkuliarnoi rezektsiei trakhei i ee bifurkatsii. Patent na izobretenie (RU 2058114). [in Russian]
________________________________________________
2. Mac Hale SJ. Carcinoma of the bronchus: survival following conservative resection. Thorax 1966; 21: 343–6.
3. Jonston JB, Jones PH. The treatment of bronchial carcinoma by lobectomy and sleeve resection of the main bronchus. Thorax 1959; 14: 48–53.
4. Abbot OA. Experiences with the surgical resection of the human carina, tracheal wall, and contralateral bronchial wall in cases of right total pneumonectomy. J Thorac Surg 1950; 19 (6): 906–22.
5. Dartevelle P, Macchiarini P, Chapelier А. Tracheal sleeve pneumonectomy for bronchogenic carcinoma: report of 55 cases. Ann Thorac Surg 1995; 60: 1854–5.
6. Mathey J, Binet JF, Galey JJ et al. Tracheal and tracheobronchial resections. Technique and results in 20 cases. J Thorac Cardiovasc Surg 1966; 51: 1–13.
7. Jensik RJ, Faber LP, Kittle CF et al. Survival in patients undergoing tracheal sleeve pneumonectomy for bronchogenic carcinoma. J Thorac Cardiovasc Surg 1982; 84: 489–97.
8. Deslauriers J, Beaulieu M, Benazera A et al. Sleeve pneumonectomy for bronchogenic carcinoma. Ann Thorac Surg 1979; 28: 465–74.
9. Roviaro G, Vergani C, Maciocco M et al. Tracheal sleeve pneumonectomy: Long-term outcome. Lung Cancer 2006; 52 (1): 105–10.
10. Eichhorn F, Storz K, Hoffmann H et al. Sleeve Pneumonectomy for Central Non-Small Cell Lung Cancer: Indications, Complications, and Survival. Ann Thorac Surg 2013; 96 (1): 253–8.
11. Jensik RJ, Faber LP, Milloy FJ et al. Tracheal sleeve pneumonectomy for advanced carcinoma of the lung. Surg Gynecol Obstet 1972; 134: 231–6.
12. Porhanov VA, Poliakov IS, Selvaschuk AP et al. Indications and results of sleeve carinal resection. Eur J Cardiothorac Surg 2002; 22: 685–94.
13. Davydov M.I., Polotskii B.E., Matiakin E.G. i dr. Sovremennye vozmozhnosti trakheo-bronkhoplasticheskikh operatsii v khirurgii zlokachestvennykh opukholei. Materialy obshchestva onkologov Moskvy i Moskovskoi oblasti. Zasedanie 525. 2006. [in Russian]
14. Kharchenko V.P., Pan'shin G.A., Chkhikvadze V.D. i dr. Perspektivy kombinirovannogo i khirurgicheskogo lecheniia raka legkogo. Materialy V Vserossiiskogo s"ezda onkologov. T. 2. Kazan', 2000; s. 42–4. [in Russian]
15. Rea F, Marulli G, Schiavon M et al. Tracheal sleeve pneumonectomy for non small cell lung cancer (NSCLC): short and long-term results in a single institution. Lung Cancer 2008; 61 (2): 202–8.
16. Mitchell JD, Mathisen DJ, Wright CD et al. Resection for bronchogenic carcinoma involving the carina: long-term results and effect of nodal status on outcome. J Thorac Cardiovasc Surg 2001; 121: 465–71.
17. Grillo HC. Carinal reconstruction. Ann Thorac Surg 1982; 34: 356–74.
18. Salzer GM, Muller LC, Kroesen G. Resection of the tracheal bifurcation through a left thoracotomy. Eur J Cardiothorac Surg 1987; 1: 125–30.
19. Gilbert A, Deslauriers J, McClish A et al. Tracheal sleeve pneumonectomy for carcinomas of the proximal left main bronchus. Can J Surg 1984; 27: 583–90.
20. Dartevelle P, Macchiarini P, Chapelier AR. Tracheal sleeve pneumonectomy for bronchogenic carcinoma: report of 55 cases. Ann Thorac Surg 1995; 60: 1854–5.
21. Mathisen D.J: Carinal reconstruction: techniques and problems. Semin Thorac Cardiovasc Surg 1996; 8: 403–8.
22. Giller B.M., Giller D.B., Giller G.V. Sposob pravostoronnei pnevmonektomii s obshirnoi tsirkuliarnoi rezektsiei trakhei i ee bifurkatsii. Patent na izobretenie (RU 2058114). [in Russian]
Авторы
Р.А.Хвастунов*1,2, А.А.Усачев2
1 ФГБОУ ВО Волгоградский государственный медицинский университет Минздрава России. 400131, Россия, Волгоград, пл. Павших борцов, д. 1;
2 ГБУЗ Волгоградский областной клинический онкологический диспансер. 400138, Россия, Волгоград, ул. Землячки, д. 78
*hra-4@yandex.ru
1 Volgograd State Medical University of Ministry of Health of the Russian Federation. 400131, Russian Federation, Volgograd, pl. Pavshikh bortsov, d. 1;
2 Volgograd Regional Clinical Oncology Clinic. 400138, Russian Federation, Volgograd, ul. Zemliachki, d. 78
*hra-4@yandex.ru
1 ФГБОУ ВО Волгоградский государственный медицинский университет Минздрава России. 400131, Россия, Волгоград, пл. Павших борцов, д. 1;
2 ГБУЗ Волгоградский областной клинический онкологический диспансер. 400138, Россия, Волгоград, ул. Землячки, д. 78
*hra-4@yandex.ru
________________________________________________
1 Volgograd State Medical University of Ministry of Health of the Russian Federation. 400131, Russian Federation, Volgograd, pl. Pavshikh bortsov, d. 1;
2 Volgograd Regional Clinical Oncology Clinic. 400138, Russian Federation, Volgograd, ul. Zemliachki, d. 78
*hra-4@yandex.ru
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