METHOD FOR TRACHEOBRONCHIAL ANASTOMOSIS AFTER EXTENDED LOWER BILOBECTOMY ON THE RIGHT Russian patent published in 2021 - IPC A61B17/00 A61B17/11 

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely to thoracic surgery and oncology. After cutting off the mouth of the upper lobe bronchus, a new bifurcation is formed with the mouths of the left main and right upper lobe bronchi, performing two lines of Y-shaped sutures. Wherein, the anterior suture line is formed along the left semicircle of the anastomosis through the interchondral spaces of the trachea and the left main bronchus (LMB), the posterior suture line is formed along the right semicircle between the trachea and the right upper lobe bronchus (ULB). First, the cartilaginous parts of the left half of the trachea and the LMB, the medial semicircles of the LMB and the lateral semicircle of the ULB are connected. Next, the left part of the posterior suture line is formed from the left membranous part of the trachea and the left membranous part of the LMB. The right part of the posterior suture line is formed from the lateral part of the membranous part of the LMB and the medial part - before cutting off - half of the membranous part of the ULB. The lower part of the posterior line of sutures is formed from the medial membranous part of the LMB and the lateral - before cutting off - half of the membranous part of the ULB. The anterior suture line is formed between the right tracheal semicircle and the medial ULB semicircle. Sutures are applied between the cartilaginous parts of the LMB and ULB.

EFFECT: invention allows the reconstruction of the tracheal carina while preserving the upper lobe of the right lung, maintain adequate blood supply in the anastomotic zone, does not lead to narrowing of the tracheal lumen during the formation of anastomoses, does not require an additional wedge-shaped incision along the tracheal wall, increases the consistency of the sutures, and allows preserving the patient's functional reserves.

1 cl, 6 dwg, 1 ex