Formation of Polybronchial Anastomosis in Central Lung Cancer with Bullous Changes Using Free Pericardial Fat Pad for Bronchial Suture Coverage: Clinical Case
Introduction. Bronchoplastic surgery with the formation of a polybronchial anastomosis in lung cancer allows bilobectomy or pneumonectomy to be avoided. Aim. This study evaluates the results of bronchoplastic surgery with polybronchial anastomosis formation in lung cancer treatment. Materials and me...
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Bashkir State Medical University
2025-07-01
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| Series: | Креативная хирургия и онкология |
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| Online Access: | https://www.surgonco.ru/jour/article/view/1090 |
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| author | R. R. Gat’jatov S. V. Zinchenko N. A. Shanazarov |
| author_facet | R. R. Gat’jatov S. V. Zinchenko N. A. Shanazarov |
| author_sort | R. R. Gat’jatov |
| collection | DOAJ |
| description | Introduction. Bronchoplastic surgery with the formation of a polybronchial anastomosis in lung cancer allows bilobectomy or pneumonectomy to be avoided. Aim. This study evaluates the results of bronchoplastic surgery with polybronchial anastomosis formation in lung cancer treatment. Materials and methods. The minimum volume standards in surgery for patients in Russia and Kazakhstan are the right lower lobectomy. However, given the bullous changes observed in the right upper lobe and three remaining segments, this approach carries a risk of postoperative complications, including bulla rupture with fistula formation and pleural cavity infection. Consequently, we implemented an organ-sparing treatment strategy, which involved middle lobectomy, S6 segmentectomy, and sleeve resection of the intermediate, lower lobe, and B8 segmental bronchi, accompanied by the formation of polybronchial anastomosis between three bronchi. To prevent the development of bronchopleural fistula, we used a free pericardial fat pad. Results. The postoperative period was uneventful. At the 20-month follow-up, no recurrence was detected. Discussion. Bronchoplastic surgeries offer patients a better quality of life in comparison to pneumonectomy or bilobectomy, while maintaining equivalent recurrence-free survival rates as a radical treatment method. Conclusion. Bronchoplastic surgery is an effective approach for the treatment of lung cancer. |
| format | Article |
| id | doaj-art-0c0da7bc1bca47fda0c3dd96e231c4a7 |
| institution | DOAJ |
| issn | 2076-3093 2307-0501 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Bashkir State Medical University |
| record_format | Article |
| series | Креативная хирургия и онкология |
| spelling | doaj-art-0c0da7bc1bca47fda0c3dd96e231c4a72025-08-20T03:19:21ZengBashkir State Medical UniversityКреативная хирургия и онкология2076-30932307-05012025-07-0115217918510.24060/2076-3093-2025-15-2-83-89627Formation of Polybronchial Anastomosis in Central Lung Cancer with Bullous Changes Using Free Pericardial Fat Pad for Bronchial Suture Coverage: Clinical CaseR. R. Gat’jatov0S. V. Zinchenko1N. A. Shanazarov2Chelyabinsk Regional Clinical Centre for Oncology and Nuclear MedicineKazan Federal UniversityMedical Center Hospital of the President’s affairs Administration of the Republic of KazakhstanIntroduction. Bronchoplastic surgery with the formation of a polybronchial anastomosis in lung cancer allows bilobectomy or pneumonectomy to be avoided. Aim. This study evaluates the results of bronchoplastic surgery with polybronchial anastomosis formation in lung cancer treatment. Materials and methods. The minimum volume standards in surgery for patients in Russia and Kazakhstan are the right lower lobectomy. However, given the bullous changes observed in the right upper lobe and three remaining segments, this approach carries a risk of postoperative complications, including bulla rupture with fistula formation and pleural cavity infection. Consequently, we implemented an organ-sparing treatment strategy, which involved middle lobectomy, S6 segmentectomy, and sleeve resection of the intermediate, lower lobe, and B8 segmental bronchi, accompanied by the formation of polybronchial anastomosis between three bronchi. To prevent the development of bronchopleural fistula, we used a free pericardial fat pad. Results. The postoperative period was uneventful. At the 20-month follow-up, no recurrence was detected. Discussion. Bronchoplastic surgeries offer patients a better quality of life in comparison to pneumonectomy or bilobectomy, while maintaining equivalent recurrence-free survival rates as a radical treatment method. Conclusion. Bronchoplastic surgery is an effective approach for the treatment of lung cancer.https://www.surgonco.ru/jour/article/view/1090lung cancerpulmonary neoplasmsbronchoplastic surgerypolybronchial anastomosisfree pericardial fat padorgan-sparing treatment |
| spellingShingle | R. R. Gat’jatov S. V. Zinchenko N. A. Shanazarov Formation of Polybronchial Anastomosis in Central Lung Cancer with Bullous Changes Using Free Pericardial Fat Pad for Bronchial Suture Coverage: Clinical Case Креативная хирургия и онкология lung cancer pulmonary neoplasms bronchoplastic surgery polybronchial anastomosis free pericardial fat pad organ-sparing treatment |
| title | Formation of Polybronchial Anastomosis in Central Lung Cancer with Bullous Changes Using Free Pericardial Fat Pad for Bronchial Suture Coverage: Clinical Case |
| title_full | Formation of Polybronchial Anastomosis in Central Lung Cancer with Bullous Changes Using Free Pericardial Fat Pad for Bronchial Suture Coverage: Clinical Case |
| title_fullStr | Formation of Polybronchial Anastomosis in Central Lung Cancer with Bullous Changes Using Free Pericardial Fat Pad for Bronchial Suture Coverage: Clinical Case |
| title_full_unstemmed | Formation of Polybronchial Anastomosis in Central Lung Cancer with Bullous Changes Using Free Pericardial Fat Pad for Bronchial Suture Coverage: Clinical Case |
| title_short | Formation of Polybronchial Anastomosis in Central Lung Cancer with Bullous Changes Using Free Pericardial Fat Pad for Bronchial Suture Coverage: Clinical Case |
| title_sort | formation of polybronchial anastomosis in central lung cancer with bullous changes using free pericardial fat pad for bronchial suture coverage clinical case |
| topic | lung cancer pulmonary neoplasms bronchoplastic surgery polybronchial anastomosis free pericardial fat pad organ-sparing treatment |
| url | https://www.surgonco.ru/jour/article/view/1090 |
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