THE FIRST EXPERIENCE OF USING INTRAPARENCHYMASE SUTURE SEALING TECHNIQUE IN LUNG SURGERY

Postoperative air leakage - alveolo-pleural fistula, is one of the most frequent and insidious complications in thoracic surgery and the main limiting factor in early discharge of patients from the hospital. The aim of this study was to increase the efficiency and reliability of aero- and hemostasis in traumatic or surgical damage to the lung parenchyma. A total of 275 patients with various lung pathologies requiring surgical treatment were included in the study. All patients were divided into two groups. The introduction of a new technique to strengthen the tightness of sutures on the lungs allowed to reduce the overall incidence of early clinically significant postoperative complications (grade II-V according to Clavien-Dindo) in the groups as a whole from 13.2% to 3.1%. The development of complications from the pulmonary parenchyma (failure of aero- and (or) hemostasis) necessitates a longer postoperative pleural drainage, in turn, the introduction of a new technique for sealing the suture line made it possible to reduce the average drainage time after all types of interventions from 5.0± 2.1.