Omentoplasty as a method for prevention and treatment of failure of the right main bronchial stump and trachea-bronchial (trahea-traheal) anastomosis

P.K. Yablonsky, I.V. Mosin, A.B. Sanginov*, N.V. Mosina, A.V. Chausov

FGBI «St. Petersburg Research Institute of Phthisiopulmonology»
Institute of Pulmonology SPbSMU named after I.P. Pavlov, Russia
* National Center for Tuberculosis, pulmonology and thoracic surgery; Avicenna TSMU, Tajikistan

A retrospective analysis of treatment 171 patients with locally advanced non-small cell lung cancer stage IIIa and IIIb thatunderwent to right-combined pneumonectomy and reconstructive plastic surgery on the trachea and its bifurcation was done. In 75 patients the bronchial stump or anastomosis line was covered with omentum flap on the vascular pedicle of stump right main bronchus and trahea-traheal (trachea-bronchial) anastomosis without omentoplasty detected in 17 (17,7%) patients, and using omentoplasty - in 4 (5,3%). Postoperative mortality without omentoplasty was in 11 (11,5%) patients. No one case of deaths after using omentoplastywith development of failure. Application of omentoplasty significantly reduces the incidence of bronchopleural complications, moreover, in the case of failure promotes healing of the defect and prevents the development of inflammatory

processes in the pleural cavity or mediastinum.

Keywords: omentoplasty, locally advanced non-small cell lung cancer, the greater omentum, the failure of bronchial stump, combined pneumonectomy, reconstructive plastic surgery.

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