pulmoПульмонологияPULMONOLOGIYA0869-01892541-9617Scientific and Practical Journal “PULMONOLOGIYA” LLC10.18093/0869-0189-2017-27-1-71-79pulmo-821Research ArticleОБЗОРЫREVIEWТопографо-анатомические и функциональные изменения органов грудной полости после хирургического лечения заболеваний легкихTopographic, anatomical and functional post-surgery chest abnormalitiesВасюковМ. Н.VasyukovM. N.

к. м. н., врач торакального хирургического отделения

Candidate of Medicine, physician at Thoracic Surgery Department

mikl789@mail.ruКаганИ. И.KaganI. I.

д. м. н., профессор кафедры оперативной хирургии и клинической анатомии им. С.С.Михайлова

Doctor of Medicine, Professor at S.S. Mikhaylov Department of Operative Surgery and Clinical Anatomy

kaganil@mail.ruГосударственное бюджетное учреждение здравоохранения «Оренбургский областной онкологический диспансер»РоссияOrenburg Regional Clinical Oncological DispensaryRussian FederationФедеральное государственное бюджетное образовательное учреждение высшего образования «Оренбургский государственный медицинский университет» Министерства здравоохранения Российской ФедерацииРоссияOrenburg State Medical University, Healthcare Ministry of RussiaRussian Federation2017020520172717179Copyright © Васюков М.Н., Каган И.И., 20172017Васюков М.Н., Каган И.И.Vasyukov M.N., Kagan I.I.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/821

Обзор посвящен топографо-анатомическим изменениям органов грудной клетки после пневмонэктомии и лобэктомии. Представлены основные сведения по изменению анатомии средостения, оперированного и контрлатерального легкого, скелета груди. Хронологически рассмотрены результаты исследований отечественных и зарубежных работ, посвященных исследованию данного вопроса. На основе анализа показано, что наиболее интенсивно исследования стали проводиться с внедрением в практическую медицину компьютерной томографии. Обозначены перспективы данного направления.

Topographic and anatomical thoracic changes after pneumonectomy and lobectomy have been reviewed in this article including anatomic changes of the mediastinum, the diaphragm, the chest skeleton, operated and contralateral lungs. Results of Russian and foreign studies have been analyzed. This problem has been investigating more actively after wide implementation of computer tomography in the clinical practice. Certain trends in topographic and anatomical thoracic changes could be noted after pneumonectomy or lung resection. The most typical changes are the mediastinum displacement, diaphragm elevation and thoracic skeletal changes. A few data were published about quantitative postoperative changes. Current life-time imaging is able characterize postoperative changes quantitatively. 3D-modelling can comprehensively describe mechanisms of displacement of the heart, the tracheal bifurcation, the esophagus and large mediastinal vessels. Small number of studies precludes a detailed analysis of gender and constitutional differences and correlational analysis with post-operative ventilation changes. Thus, postoperative topographic and anatomical thoracic and abdominal changes after pulmonary surgery need further investigation.

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