[Anesthetic management of reconstructive surgery on the respiratory tract]. / Osobennosti anesteziologicheskogo obespecheniya rekonstruktivnykh operatsii na dykhatel'nykh putyakh.

In the article provides an analysis of own of clinical experience peculiarities of carrying out of anesthesia, when performing 466 various tracheo-bronhoplastiс of operations for the period from 1979 to 2014 the year a one team of surgeons. Preoperative preparation, anesthesia and postoperative management of patients are key to improving treatment outcomes. Full arsenal of modern methods of ventilation lets you choose for each stage of surgery is most convenient for the surgeon and patient-safe way to maintain gas exchange. Presented in this paper our anestiology experience allows you to discuss and elect the proposed management of patients through the selection and optimization of the method that best meets modern requirements.

[Robotic-assisted and laparoscopic hepatic resections for nonparasitic cysts of posterior liver segments].

Results of 36 robotic-assisted and laparoscopic hepatic resections for nonparasitic cysts of posterior liver segments were demonstrated. Technical aspects of the procedure, advantages and drawbacks of each method were discussed. Important intra- and postoperative indexes were compared. The study allows to state, that the use of the da Vinci robotic surgical system has certain technical advantages over the standard laparoscopic technique in case of the posterior location of liver cysts.

[Videothoracosopy in diagnosis and surgical treatment of tuberculosis]. / Videotorakoskopiia v diagnostike i khirurgicheskom lechenii tuberkuleza.

From 1993 to May 2001, 795 psychiatric patients were treated including 563 with pleural effusion, 98 with multiple or solitary tuberculoma, 69 with tuberculous empyema, 14 with fibrotic-cavitary tuberculosis, 51 with disseminated tuberculosis. Mean age of the patients was 32 years. Survey of pleural cavity with pleural or lung biopsy was performed in 691 patients. In tuberculoma 14 lobectomies were performed, 23 patients underwent atypical lung resection without stapler (including with precise technique). Bilateral on-stage interventions were made in 32 patients. In empyema necrectomy and lung decortication were performed. 14 patients underwent videocavernoscopy with sequestrectomy and cavity drainage. In disseminated tuberculosis lung biopsy without staplers was usually performed. Aerohemostasis was achieved with plasma stream. One patient with empyema and one patient with pleural effusion died (lethality was 0.25%). Rate of postoperative complications was 7.5% in tuberculoma and 1.5% in disseminated tuberculosis. Conversion to thoracotomy was necessary in 3 (3%) patients with tuberculoma and 12 (17%) patients with empyema. Mean hospital stay was 4 days after diagnostic surgery and 7 days after lung resection. In pleural effusion diagnosis was verified in 98% cases, in disseminated tuberculosis--in 100%. Videothoracoscopy is the best diagnostic method for pleural effusion and disseminated forms of lung tuberculosis and operation of choice in tuberculoma and empyema. Videothoracoscopy in tuberculosis is highly effective and associates with low rate of postoperative complications and lethality.

[Surgical treatment of stage IIIA non-small-cell lung cancer]. / Khirurgicheskoe lechenie patsientov s IIIA stadiei nemelkokletochnogo raka lëgkogo.

Data on five-year survival were evaluated for 258 patients with non-small cell lung cancer (stage IIIA) (N2). In 155 patients (60%), N2 tumor was detected during surgery. Total resection was carried out in 179 (69.4%), subtotal--79 (30.6%). Total lymph node dissection was not employed in the latter group. Lateral thoracotomy was used in 213 cases. Transsternal procedure was performed in 45 cases of bulky tumor and extensive invasion of mediastinal fat. A comparison of five-year survival data failed to establish any relationship between survival and postoperative radiochemotherapy in radically-operated patients. It was found that surgery for non-small lung N2 tumors with mediastinal involvement is indicated and may be effective if total lymph node dissection is performed.

[Video-assisted thoracoscopy in treatment of pleural empyema]. / Videotorakoskopiia v lechenii émpiemy plevry.

The experience of treatment for 609 patients with empyema of the pleura with the use of videothoracoscopy technique has been summarized. 436 (71.6%) patients were at stage 1 of the disease, 126 (20.7%)--stage 2 and 47 (7.7%)--stage 3. All complications of intrapleural bleedings arisen in 3 (0.5%) patients, have been controlled through thoracoscope. There were no postoperative complications. Transformation of videothoracoscopic operation into the open one has been required in 11 (1.8%) patients: in 4--due to extensive destruction of the lung tissues, in 4--due to atelectasis of the lung, and in 3--because of the danger of endoscopical injury to the mediastinal organs. Feasibility of videothoracoscopic decortication of the lung and pleurectomy at stage 3 of chronic empyema of the pleura was demonstrated. 37 (78.7%) patients were cured by this method.

[Surgical treatment of bilateral pulmonary tuberculosis]. / Khirurgicheskoe lechenie dvustoronnikh form tuberkuleza legkikh.

Two hundred and eighty two patients with different types of bilateral tuberculous lesion of the lung were operated on. Most (n = 124) patients underwent consecutive operations, 106 one-stage resections of the lung through transsternal access on the one side and video thoracoscopic resections on the other. One-stage bilateral video thoracoscopic operations were made in 52 cases. The greatest number of postoperative complications was noted with multistage operations, which is accounted for a critically ill patient group, advanced processes, concurrent pyoseptic infection. The patients undergone-transsternal resections showed minimum mortality rates with a rather low incidence of postoperative complications.