METHOD FOR INTRAOPERATIVE PREVENTION OF LONG-TERM AIR LEAKAGE IN PATIENTS WITH LUNG CANCER DURING ORGAN-PRESERVING ANATOMICAL RESECTIONS Russian patent published in 2023 - IPC A61B17/00 A61K33/18 A61P11/00 A61M11/00 A61M27/00 

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely to thoracic surgery and oncology. Perform anterolateral thoracotomy or thoracoports. An anterolateral thoracotomy or installation of thoracoports is performed. Anatomical resection of the lung is performed: segmentectomy, or lobectomy, or bilobectomy. A systematic mediastinal lymph node dissection, hemostasis, control of pneumostasis with an underwater test are performed. Then, the visceral and parietal pleura are treated by irrigating with a 10% solution of Betadine for 1 minute using a spray gun with a uniform thin layer to sediment the drug. In this case, the accumulation of the drug in the costal-diaphragmatic, diaphragmatic-mediastinal, costal-mediastinal sinus and in the mediastinum after lymph node dissection is evacuated with a vacuum aspirator. The pleural cavity is drained in the 7th intercostal space along the anterior axillary line and the 9th intercostal space along the posterior axillary line according to Bulau-Bobrov with two PVC tubes in case of prompt access by thoracotomy. Or in the 9th intercostal space along the posterior axillary line with one PVC tube in case of videothoracoscopic access. Produce layer-by-layer suturing of the wound.

EFFECT: method makes it possible to ensure the development of obliteration of the pleural cavity, prevent the development of prolonged air leakage, and increase the efficiency of organ-preserving surgical treatment of patients with non-small cell lung cancer.

1 cl, 3 ex