V.N. Novikov2, N.V. Lozhkina1
1State Clinical Hospital №4, Perm
2Perm Clinical Center of FMBA of Russia, Perm
Novikov V.N. ― Deputy Director for Science of the Perm Clinical Center of FMBA of Russia 27 Tselinnaya Str., Perm, Russian Federation, 614056, tel. +7-919-705-76-00, e-mail: endonov@yandex.ru
Abstract. In order to optimize the endoscopic treatment of combined neoplastic lesion of trachea, main bronchus and esophagus the results of treatment of 61 patients with combined lesions of esophagus, trachea and main bronchus have been studied. The first group consisted of 14 patients with neoplasms of trachea, main bronchus with expansion to the esophagus. The second group consisted of 24 patients with neoplasms of esophagus with expansion to trachea and main bronchus. The third group consisted of 10 patients with mediastinal tumor with compression of trachea and esophagus and the fourth group included 13 patient with defeat of the esophagus and trachea in combination with larynx’s paresis. Treatment included stenting of esophagus and trachea by protectors of various structures and tracheostomy and puncture gastrostomy in some cases.
Correction of the complications made on time can significantly prolong life and improve the quality of life of patients with combined neoplastic stenosis of trachea, main bronchus and esophagus with a comprehensive approach and an adequate assessment of the patient’s condition.
Key words: neoplastic stenosis of trachea and esophagus, stenting of trachea, main bronchus and esophagus, puncture gastrostomy.