RISK FACTORS OF SIMULTANEOUS SURGERY FOR CONCURRENT LUNG CANCER AND CARDIAC VASCULAR DISORDERS
https://doi.org/10.21292/2078-5658-2018-15-5-87-94
Abstract
Currently, there is a global trend of growing frequency of concurrent lung malignant tumors and cardiac vascular pathology, in particular, ischemic heard disease. The literature review demonstrates, that development of surgery, anesthesiology and intensive care allows expanding limits for treatment of such patients through simultaneous surgery when lungs and heart are operated at the same time.
The article analyzes the personal experience of the authors and international publications, it contemplates on safe performance of simultaneous and multi-organ surgeries, involving respiratory and blood circulation systems, different approaches to surgery, its specific features, benefits, and limitations. Specialists from Russian Surgery Research Center named after B.V. Petrovsky find it preferable to perform simultaneous staged surgery of the lungs, mediastinum and cardiac vascular system. There is a certain sequence of stages. It demonstrates that the first stage may include isolation of abnormal masses of the lung (mediastinum) and lung hilus, if necessary. After that cardiac surgery is performed, and as a final stage, the whole abnormal focus is isolated and resected.
About the Authors
D. G. Kabakov
Russian Research Surgery Center named after B.V. Petrovsky.
Russian Federation
Russian Federation
Dmitry G. Kabakov - Anesthesiologist and Emergency Physician of Anesthesiology and Intensive Care Department no. I.
2, Abrikosovsky Lane, Moscow, 119991.
D. V. Bazarov
Russian Research Surgery Center named after B.V. Petrovsky.
Russian Federation
Russian Federation
Dmitry V. Bazarov - Candidate of Medical Sciences, Head of Thoracic Surgery Department.
2, Abrikosovsky Lane, Moscow, 119991.
M. A. Vyzhigina
Russian Research Surgery Center named after B.V. Petrovsky.
Russian Federation
Russian Federation
Margarita A. Vyzhigina - Doctor of Medical Sciences, Professor, Chief Researcher of Anesthesiology and Intensive Care Department.
2, Abrikosovsky Lane, Moscow, 119991.
B. A. Akselrod
Russian Research Surgery Center named after B.V. Petrovsky.
Russian Federation
Russian Federation
Boris A. Akselrod - Doctor of Medical Sciences, Head of Anesthesiology and Intensive Care Unit no. II.
2, Abrikosovsky Lane, Moscow, 119991.
A. A. Morozova
Russian Research Surgery Center named after B.V. Petrovsky.
Russian Federation
Russian Federation
Aleksandra A. Morozova - Resident of Anesthesiology and Intensive Care Department.
2, Abrikosovsky Lane, Moscow, 119991.
A. A. Kavochkin
Russian Research Surgery Center named after B.V. Petrovsky.
Russian Federation
Russian Federation
Aleksey A. Kavochkin - Anesthesiologist and Emergency Physician of Anesthesiology and Intensive Care Department no. I.
2, Abrikosovsky Lane, Moscow, 119991.
Yu. V. Belov
Russian Research Surgery Center named after B.V. Petrovsky.
Russian Federation
Russian Federation
Yury V. Belov - Academician of RAS, Doctor of Medical Sciences, Professor, Director.
2, Abrikosovsky Lane, Moscow, 119991.
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Review
For citations:
Kabakov D.G., Bazarov D.V., Vyzhigina M.A., Akselrod B.A., Morozova A.A., Kavochkin A.A., Belov Yu.V. RISK FACTORS OF SIMULTANEOUS SURGERY FOR CONCURRENT LUNG CANCER AND CARDIAC VASCULAR DISORDERS. Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2018;15(5):87-94. (In Russ.) https://doi.org/10.21292/2078-5658-2018-15-5-87-94
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