pulmoПульмонологияPULMONOLOGIYA0869-01892541-9617Scientific and Practical Journal “PULMONOLOGIYA” LLC10.18093/0869-0189-2026-36-5-841-851pulmo-4882Research ArticleОБЗОРREVIEWХирургическая редукция объема легких при эмфиземеLung volume reduction surgery for emphysemahttps://orcid.org/0000-0002-4335-3987БерикхановЗ. г.BerikkhanovZ. G.

Берикханов Зелимхан Гези-Махмаевич – к. м. н., доцент кафедры госпитальной хирургии № 2 Института клинической медицины имени Н.В.Склифосовского

Scopus ID: 57200131381; WoS Researcher ID: GPW­ 7137­2022

119991, Москва, ул. Трубецкая, 8, стр. 2 тел.: (495) 609-­14-00 

 

ul. Trubetskaya 8, build. 2, Moscow, 119991 

bzelim@yandex.ruhttps://orcid.org/0000-0001-7893-4880АгабекянГ. А.AgabekyanG. A.

Агабекян Гор Араикович – ординатор по специальности «Торакальная хирургия» кафедры госпитальной хирургии № 2 Института клинической медицины имени Н.В.Склифосовского

WoS Researcher ID: PHN­2187­2026 

119991, Москва, ул. Трубецкая, 8, стр. 2 тел.: (495) 609-14­-00 

 

ul. Trubetskaya 8, build. 2, Moscow, 119991 

goragabekyan075@gmail.comhttps://orcid.org/0000-0002-1847-711XТарабринЕ. А.TarabrinE. A.

Тарабрин Евгений Александрович – д. м. н., заведующий кафедрой госпитальной хирургии № 2 Института клинической медицины имени Н.В.Склифосовского

Scopus ID: 24068141000; WoS Researcher ID: GPW­ 8383­2022; Author ID: 929139

119991, Москва, ул. Трубецкая, 8, стр. 2 тел.: (495) 609-14­-00 

 

ul. Trubetskaya 8, build. 2, Moscow, 119991 

tarabrin_e_a@staff.sechenov.ruhttps://orcid.org/0000-0001-9917-6230ИвановаМ. Ю.IvanovaM. Yu.

Иванова Милена Юрьевна – ассистент кафедры госпитальной хирургии № 2 Института клинической медицины имени Н.В.Склифосовского

Scopus ID: 59391292800; WoS Researcher ID: I­2399­2018 

119991, Москва, ул. Трубецкая, 8, стр. 2 тел.: (495) 609­-14-00

 

ul. Trubetskaya 8, build. 2, Moscow, 119991 

ivanova_m_yu_1@staff.sechenov.ruhttps://orcid.org/0000-0002-1493-0351МуравьевС. Ю.MuravievS. Yu.

Муравьев Сергей Юрьевич – д. м. н., профессор кафедры госпитальной хирургии № 2 Института клинической медицины имени Н.В.Склифосовского

Scopus ID: 57209829543; WoS Researcher ID: D­7258­2018 

119991, Москва, ул. Трубецкая, 8, стр. 2 тел.: (495) 609-14­-00 

 

ul. Trubetskaya 8, build. 2, Moscow, 119991 

muravev_s_yu@staff.sechenov.ruГершевичВ. М.GershevichV. M.

Гершевич Вадим Михайлович – к. м. н., доцент кафедры общей хирургии лечебного факультета

644099, Омск, ул. Ленина, 12  тел.: (950) 333-­73-­33 

 

ul. Lenina 12, Omsk, 644099 

gershevichvm@omgmu.ruhttps://orcid.org/0009-0007-3784-971XМайоровЕ. В.MayorovE. V.

Майоров Ефим Владимирович – студент VI курса Института клинической медицины

WoS Researcher ID: OIR­5982­2025 

117997, Москва, ул. Островитянова, 1  тел.: (495) 434-­22-­66 

 

ul. Ostrovityanova 1, Moscow, 117997 

mayorov.efim@gmail.comФедеральное государственное автономное образовательное учреждение высшего образования «Первый Московский государственный медицинский университет имени И.М.Сеченова» Министерства здравоохранения Российской Федерации (Сеченовский Университет)РоссияFederal State Autonomous Educational Institution of Higher Education I.M.Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)Russian FederationФедеральное государственное бюджетное образовательное учреждение высшего образования «Омский государственный медицинский университет» Министерства здравоохранения Российской ФедерацииРоссияFederal State Budgetary Educational Institution of Higher Professional Education “Omsk State Medical University”, Ministry of Health of the Russian FederationRussian FederationФедеральное государственное автономное образовательное учреждение высшего образования «Российский национальный исследовательский медицинский университет имени Н.И.Пирогова» Министерства здравоохранения Российской ФедерацииРоссияFederal State Autonomous Educational Institution of Higher Education “N.I.Pirogov Russian National Research Medical University” of the Ministry of Health of the Russian FederationRussian Federation202608102026365841851Copyright © Берикханов З.г., Агабекян Г.А., Тарабрин Е.А., Иванова М.Ю., Муравьев С.Ю., Гершевич В.М., Майоров Е.В., 20262026Берикханов З.г., Агабекян Г.А., Тарабрин Е.А., Иванова М.Ю., Муравьев С.Ю., Гершевич В.М., Майоров Е.В.Berikkhanov Z.G., Agabekyan G.A., Tarabrin E.A., Ivanova M.Y., Muraviev S.Y., Gershevich V.M., Mayorov E.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.pulmonology.ru/pulm/article/view/4882

Хроническая обструктивная болезнь легких (ХОБЛ) – широко распространенное заболевание, часто приводящее к инвалидности и смерти. Эмфизема легких (ЭЛ), являясь ее морфологическим компонентом, обусловливает развитие гиперинфляции, нарушений вентиляционно-­перфузионных соотношений и прогрессирующей дыхательной недостаточности. Необходимость поиска хирургических стратегий лечения определяется неэффективностью консервативной терапии. Операция по уменьшению объема легких у пациентов с тяжелой ЭЛ направлена на удаление наименее функциональной части легких для улучшения воздушного потока, механики диафрагмы и грудной стенки, а также альвеолярного газообмена.

Целью обзора являлась систематизация данных о хирургической редукции объема легких (ХРОЛ) при лечении тяжелой ЭЛ с учетом текущих реалий в контексте комплексного лечения ХОБЛ и ЭЛ на основе анализа результатов мировой и отечественной литературы.

Материалы и методы

Материалы и методы. Для анализа литературы использовались источники из международных баз данных Scopus, PubMed, Google Scholar, а также отечественной библиотечной системы eLibrary.

Заключение

Заключение. Современные технологии позволяют расширить традиционные критерии хирургии ЭЛ, включая бронхологические методы. Показания к вмешательству теперь рассматриваются как для тяжелых, так и для ранних стадий заболевания, включая гомогенную форму, с целью замедления его прогрессирования. Ключевую роль играет ранняя диагностика и мультидисциплинарный отбор пациентов. Особый интерес представляет лечение молодых пациентов для сохранения их активности.

Chronic obstructive pulmonary disease (COPD) is a widespread disease that often leads to disability and death. Pulmonary emphysema (PE), a morphological component of COPD, causes hyperinflation, disturbances in the ventilation­perfusion ratio, and progressive respiratory insufficiency. The ineffectiveness of conservative therapy determines the need to find surgical treatment strategies. Lung volume reduction surgery in patients with severe emphysema is aimed at removing the least functional part of the lungs to improve airflow, diaphragm and chest wall mechanics, as well as alveolar gas exchange.

Aim

Aim. The aim of the review is to systematize data on surgical reduction of lung volume to improve severe PE, taking into account current complex treatment of COPD and PE based on an analysis of global and domestic literature.

Methods

Methods. Sources from the international databases Scopus, PubMed, Google Scholar as well as the domestic system eLibrary were used for literature analysis.

Conclusion

Conclusion. Modern technologies allow extending the traditional criteria of emphysema surgery, including bronchological methods. Indications for intervention are now considered for both severe and early stages of the disease, including homogenous form, in order to slow its progression. Early diagnosis and multidisciplinary selection of patients plays a key role. Of particular interest is the treatment of young patients to maintain their activity.

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The authors declare that there are no conflicts of interest present.