R.R. Gat’jatov1, N.A. Shakhnazarov2, S.V. Zinchenko3
1Chelyabinsk Regional Clinical Center for Oncology and Nuclear Medicine, Chelyabinsk
2Hospital of the Medical Center of the Kazakhstan President’s Office, Astana, Republic of Kazakhstan
3Kazan (Volga region) Federal University, Kazan
Gat‘jatov R.R.
42 Blukher St., 454087 Chelyabinsk, Russian Federation, tel.: +7-951-450-72-96, e-mail: gat_rud@mail.ru, ORCID ID: 0009-0005-3043-8008
Abstract. One of the most serious complication after anatomical lung resections are bronchial fistula. The complication reaches 12%, mortality – 50%. Prevention measures continue to develop. Our study demonstrates the results of surgical treatment of patients with malignant tumors of lungs and bronchi.
The purpose – to prevent bronchopleural fistulas after anatomical lung resections for malignant neoplasms.
Material and methods. A retro- and prospective, single-center study included 200 patients after anatomical lung resections for lung malignancies. All patients were divided into 2 groups of 100 people: the main group with a free precardial pleural fat flap covering the bronchial sutures, and the comparison group without covering the bronchial sutures. The control group (without bronchial suture cover) was formed retrospectively, before the introduction of the bronchial suture cover technique.
Results. The study was conducted from 2021 to 2024. No bronchopleural fistulas were recorded in the main group with bronchial suture cover. In the control group, in three patients, the postoperative period was complicated by the occurrence of bronchopleural fistula, which led to death in all three patients.
Conclusion. The results of this study show that covering bronchial sutures with a free pericardial pleural-fat flap in patients at high risk of postoperative complications is an effective method for preventing bronchopleural fistulas.