The features of performing extended pneumonectomy in cancer of the left lung in advanced stages of the disease differ from the similar operation on the right. The differences are most pronounced when the mediastinal stage of the intervention is performed. […]
Expanded right upper and lower bilobectomy
Performing bilobectomy for cancer in advanced stages of development of the disease in oncologically expedient limits provides for the removal, together with the affected lung lobes, of their regional lymphatic collectors. Studies conducted in this direction in the clinic allowed […]
Extended right lower lobectomy
Extended right-sided lower lobectomy in patients with lung cancer involves the removal of regional lymph nodes: intrapulmonary (inferior and inferior interlobar), inferior root and mediastinal. The lung is divided along the interlobar fissure, separating the lower lobe affected by the tumor. […]
Extended resection of the middle lobe
It is not often possible to remove the middle lobe from the lymph nodes and fiber of the mediastinum in lung cancer in advanced stages of the disease. Such a possibility appears in case of a peripheral tumor or a small […]
Extended right upper lobectomy
The extended resection of the upper lobe of the right lung in oncologically reasonable limits includes the removal of the regional lymphatic apparatus receiving the lymph from this lobe. It is formed by groups of intrapulmonary, root and mediastinal lymph […]
Anatomical features
The features of the anatomical structure and location of the right pulmonary artery allow its resection with very extensive tumor lesions. The main difficulties in the diagnosis of such lesions occurs when the posterior wall of the vessel is involved in […]
Extended operations. Extended right-sided pneumonectomy
Expanded right-sided pneumonectomy in lung cancer within the cancer-based limits involves the removal of its regional lymphatic reservoirs, including the lymph nodes of several groups located in the mediastinum: right tracheobronchial and paratracheal, prevenal, bifurcation, and esophageal. Features of extended […]
Germination of the tumor into the diaphragm
Germination of the tumor into the diaphragm, as a rule, is not considered a contraindication to performing lung resection unless the organs of the subphrenic space are involved in the tumor process. The high elasticity of the diaphragm makes it […]
Carrying out ligature under pulmonary artery
The ligature under the pulmonary artery is possible before and after the intersection of the arterial ligament, as well as distal and proximal to it. If the lower surface of the pulmonary artery has been allocated sufficiently well, the provisional […]
The spread of the tumor on the left main bronchus
The spread of the tumor on the left main bronchus or the presence of metastases in the “aortic window” can be the cause of tumor lesions of the extrapulmonary anatomical structures of this mediastinal segment. The intracranial part of the […]