[Palliative surgical correction of respiratory insufficiency in diffusive pulmonary emphysema].

Autor:	Gorbunkov SD; Pavlov First St. Petersburg State Medical University of the Healthcare Ministry of the Russian Federation, St. Petersburg, Russia., Varlamov VV; Pavlov First St. Petersburg State Medical University of the Healthcare Ministry of the Russian Federation, St. Petersburg, Russia., Cherny SM; Pavlov First St. Petersburg State Medical University of the Healthcare Ministry of the Russian Federation, St. Petersburg, Russia., Lukina OV; Pavlov First St. Petersburg State Medical University of the Healthcare Ministry of the Russian Federation, St. Petersburg, Russia., Kiryukhina LD; Pavlov First St. Petersburg State Medical University of the Healthcare Ministry of the Russian Federation, St. Petersburg, Russia., Romanikhin AI; Pavlov First St. Petersburg State Medical University of the Healthcare Ministry of the Russian Federation, St. Petersburg, Russia., Zinchenko AV; Pavlov First St. Petersburg State Medical University of the Healthcare Ministry of the Russian Federation, St. Petersburg, Russia., Akopov AL; Pavlov First St. Petersburg State Medical University of the Healthcare Ministry of the Russian Federation, St. Petersburg, Russia.
Jazyk:	ruština
Zdroj:	Khirurgiia [Khirurgiia (Mosk)] 2017 (10), pp. 52-56.
DOI:	10.17116/hirurgia20171052-56
Abstrakt:	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.
Databáze:	MEDLINE
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