[Postpneumonectomy fistula: risk factors and treatment policy]. / Faktory ryzyku i taktyka likuvannia postpnevmonektomichnoï norytsi.

Causes of development of bronchial fistulas have been studied together with the policy of treating thereof in 47 patients with prior pneumonectomy for lung cancer, tuberculosis and chronic nonspecific lung diseases. It has been ascertained that the principal risk factors for the inadequacy of the bronchus stump are localization of the process, general well-being of the patient technical errors. Differentiated surgical treatment options permitted achieving a clinical effect in 63.8 percent of patients.

[The evaluation of the external respiratory function in patients in late follow-up period after pneumonectomy]. / Ostenka funktsii vneshnego dykhaniia u bol'nykh v otdalennyi period posle vypolneniia pnevmonéktomii.

The external respiration function (ERF) indexes were studied in 215 patients in 25-40 years after performance of pneumonectomy. In 55.3% patients ventilation indexes have exceeded the due values by 50% for two lungs, in 8.4%--significant disorders of the ERF indexes were noted in connection with an early and late complications occurrence and with presence of specific and metaphthisic changes in a single lung as well.

[The diagnosis and treatment of diseases of the sternum]. / Diahnostyka i likuvannia deiakykh zakhvoriuvan' hrudyny.

Some aspects of diagnosis were studied together with treatment options for different disorders of the sternum, its fractures, and sternotomy-related complications in a series of 35 patients, with n = 9, 19 and 7 respectively. It has been ascertained that individualization of modalities of treatment permits securing a clinical effect in a major proportion of patients presenting with pathologies of seldom-occurring localizations.

[Origination of mediastinal hernia in late follow up period after performance of pulmonectomy]. / Vozniknovenie mediastinal'noi gryzhi v otdalennom periode posle vypolneniia pnevmonéktomii.

In 25-40 years after pneumonectomy conduction the mediastinal hernia (MH) occurred in 62.4% of 210 patients. Principal clinico-radiological signs of MH were vicarious hypertrophy and true pulmonary emphysema. Vicarious hypertrophy of single lung is forming, as a rule, in patients, operated on in childhood, is characterized by favourable clinical course and constitutes the MH compensated stage.

[A transsternal method for stopping pulmonary hemorrhage in patients with superior-lobe destructive pulmonary tuberculosis]. / Transsternal'nyi sposib zupynky lehenevoï krovotechi u khvorykh na verkhn'ochastochkovyi destruktyvnyi tuberkul'oz leheniv.

A less traumatic and safe way was sought for the superlobular bronchus and artery occlusion that permits the hemostatic effect to be quickly achieved, the risk and duration of the operation to be minimized. The approach consists in the use of transsternal approach instead of a conventional intercostal approach in 5 patients with superlobular fibrotic cavernous pulmonary tuberculosis, its positive effects being lessening of traumatic harm, improving of safety of operation, together with reduction of intraoperative time.

[Trans-sternal method of performing extended pulmonectomy in left-sided bronchopulmonary cancer]. / Transsternal'nyi sposib vykonannia rozshyrenoï pul'monektomiï z pryvodu livobichnoho bronkholehenevoho raku.

The method of the extended pulmonectomy conduction using transsternal transpericardial-mediastinal access to left main bronchus and pulmonary artery instead of intercostal one was depicted.