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Bronchofiberscopy (Fiber-Optic Bronchoscopy) in Treatment of Bronchial Fistulas after the Pneumonectomy

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Author(s): F. G. Nazyrov, V. A. Porkhanov, Sh. N. Khudaybergenov, О. Т. Irisov

Journal: European Medical, Health and Pharmaceutical Journal
ISSN 1804-5804

Volume: 1;
Start page: 1;
Date: 2011;
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Keywords: BRONCHOFIBERSCOPY | PNEUMONECTOMY

ABSTRACT
The  problem  of  prophylaxis  of  incompetence  of  bronchialstump and bronchial fistula is many sided. Notwithstandingthe development of new technologies, perfection of surgicaltechnique,  its  frequency  still  remains  on  high  level  thatpersistently  requests  the  search  of  new  ways  for  resolvingthis problem, which preserved its topicality till nowadays.We have found that: The most efficiency of BFS is achievedduring treatment of bronchial fistulas with diameter up to 3mm and with effectiveness at 83.2% patients after right­sidePE and at 92.3% patients after left­side PE.In case of BPF with diameter more than 3 mm the numberof satisfactory results of BFS reaches only 33.3%. but, it isnecessary  to  mention  that  among  patients  with  BPF  sizedover  3  mm  after  left­side  PE  the  effectiveness  of  BFSsignificantly  exceeds  as  general  index  (50.0%  against33.3%) so after right­side PE (50.0% against 25.0%).
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