INFLUENCE OF MEDIASTINAL LYMPH NODE DISSECTION ON THE DEVELOPMENT OF BRONCHOPULMONARY COMPLICATIONS AFTER INTRAPLEURAL ESOPHAGOPLASTY WITH ESOPHAGEAL CANCER

Kavaykin Andrey Gennadyevich, Candidate of medical sciences, associate professor, Kovylkino Central Regional Hospital, Mordovia, kavaikin@mail.ru
Chichevatov Dmitry Andreevich, Doctor of medical sciences, associate professor, head of sub-department of oncology and thoraco-abdominal surgery, Penza Institute of Advanced Medical Studies, chda@pnz.ru

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The authors has analyzed the results of 159 single-step esophagoplasties conducted in the course of treatment of esophageal carcinomas. Mediastinal lymph node dissection has approved to be a significant (p < 0,05) risk factor for postoperative ischemic bronchitis and subsequent pneumonia development. Technique of catheterization of the trachea has been proposed for prevention of these complications. It has been estimated whether this procedure could be effective enough for this purpose.

lymph node dissection, pneumonia, esophagoplasty, ischemic bronchitis.