FIELD: medicine.
SUBSTANCE: invention relates to the field of medicine, namely oncology, thoracic surgery. In the mode of high-frequency ventilation of the right lung, simultaneous Y-shaped reconstruction of the bronchi is performed with the formation of an anastomosis between the trachea, the right main bronchus and the bronchus of the basal pyramid of the left lung. At the same time, after circular resection of the tracheal bifurcation, the patient’s chin is brought to the chest wall. The distally located right main bronchus is invaginated into the trachea in such a way that space is left along the left wall of the anastomosis for the insertion of the bronchus of the basal pyramid. The mediastinal pleura is dissected. The pulmonary ligament is crossed. Sickle-shaped dissection of the pericardium under the lower pulmonary vein is performed. The basal pyramid is mobilized. In this case, the tracheobronchial anastomosis is formed by separate nodular sutures with synthetic absorbable braided suture material. Ligatures are tightened first between the trachea and the right main bronchus, and then between the bronchus of the basal pyramid and the formed tracheobronchial anastomosis. Endotracheal ventilation of the lungs is resumed.
EFFECT: method makes it possible to restore the continuity of the tracheobronchial tree during upper lobectomy with S6 resection on the left, to ensure the preservation of the basal pyramid of the left lung by creating a space in the anastomosis zone for the insertion of the bronchus of the basal pyramid of the desired diameter and shape with the approximation of the basal pyramid.
1 cl, 4 dwg, 1 ex
