Bilateral staged anatomic lung resection for bronchiectasis and infected polycystic disease complicated by bleeding: viability with 3 hypertrophied segments maintained
https://doi.org/10.18093/0869-0189-2022-32-6-915-920
Abstract
Bilateral lung resections are performed for various pathologies: pulmonary emphysema, parasitic diseases, metastatic lesions, and bronchiectasis. In clinical practice, sequential or staged interventions are more common. Surgical treatment of bronchiectasis is currently carried out only in cases with complications of localized forms and, as a rule, consists of resection of the affected part of the lung. The percentage of such patients is not large and amounts to about 5%. Taking into account the chronic course of bronchiectasis and certain successes of the conservative treatment, indications for resection operations may arise at different periods of the patient’s life. Sometimes, up to several decades can pass between the surgeries. Aim. To demonstrate a rare clinical case of staged lung resection for bronchiectasis in a patient who had 4 lung lobes removed with an interval of 52 years. Results. History of the disease was described. Indications for staged surgical interventions were identified. The main characteristics of the health status after the surgeries were described. Conclusion. The presented case illustrates the place and role of surgical methods in the treatment of bronchiectasis, as well as the compensatory capabilities of the lung tissue in the case of staged resection interventions.
About the Authors
A. S. Benyan
Ministry of Health of the Samara Region; Samara State Medical University of the Ministry of Healthcare of the Russian Federation
Russian Federation
Competing Interests:
Russian Federation
Armen S. Benian - Doctor of Medicine, Minister of Health of the Samara Region, Professor, Department of Surgery, Institute of Professional Education, Samara State Medical University of the Ministry of Healthcare of the Russian Federation.
Leninskaya ul. 73, 443020, Samara; Chapaevskaya ul. 89, Samara, 443099
tel.: (846) 333-00-16
Competing Interests:
The authors declare that they have no conflicts of interest
M. A. Medvedchikov-Ardiia
Samara State Medical University of the Ministry of Healthcare of the Russian Federation; Samara regional clinical hospital named after V.D. Seredavin, Ministry of Healthcare of the Samara Region
Russian Federation
Competing Interests:
Russian Federation
Mikhail A. Medvedchikov-Ardiia - Candidate of Medicine, Associate Professor, Institute of Professional Education, Samara State Medical University of the Ministry of Healthcare of the Russian Federation; Thoracic Surgeon, Thoracic Surgical Department, Samara regional clinical hospital named after V.D. Seredavin, Ministry of Healthcare of the Samara Region.
Chapaevskaya ul. 89, Samara, 443099; Tashkentskaya ul. 159, Samara, 443095
tel.: (846) 956-22-72
Competing Interests:
The authors declare that they have no conflicts of interest
N. Yu. Abashkin
Samara regional clinical hospital named after V.D. Seredavin, Ministry of Healthcare of the Samara Region
Russian Federation
Competing Interests:
Russian Federation
Nikolai Yu. Abashkin - Thoracic Surgeon, Thoracic Surgical Department, Thoracic Surgical Department, Samara regional clinical hospital named after V.D. Seredavin, Ministry of Healthcare of the Samara Region.
Tashkentskaya ul. 159, Samara, 443095
tel.: (846) 956-22-72
Competing Interests:
The authors declare that they have no conflicts of interest
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Benyan A.S., Medvedchikov-Ardiia M.A., Abashkin N.Yu. Bilateral staged anatomic lung resection for bronchiectasis and infected polycystic disease complicated by bleeding: viability with 3 hypertrophied segments maintained. PULMONOLOGIYA. 2022;32(6):915-920. (In Russ.) https://doi.org/10.18093/0869-0189-2022-32-6-915-920
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