A METHOD FOR DETERMINING THE LEVEL OF RESECTION IN THE SURGICAL TREATMENT OF PULMONARY EMPHYSEMA USING FLUORESCENCE

Wildanov Tayar Dayanovich, Avzaletdinov Artur Marsovich, Pavlov Valentin Nikolaevich, Latypov Fagim Rishatovich, Gibadullin Rishat Askhatovich

The aim. To analyze the literature on current methods of pulmonary emphysema surgical treatment, the state of the problem of intraoperative diagnosis of the level of reduction of lung tissue. Material and methods. The PubMed and Elibrary (RSCI) databases on the problem of lung emphysema surgery were used. Results. The authors propose their own method for determining the level of resection during surgical treatment in patients with emphysema, when, before the operation, the patient undergoes inhalation or parenteral administration of 5-aminolevulinic acid (5-ALA). The express fluorescence diagnostics by laser electronic spectral analyzer (LESA-01-BIOSPEK) is carried out intraoperatively. The areas of lung emphysema are identified by received data, and volume reduction is performed. areas of lung emphysema are identified based on received data, and volume reduction is carried out this method allows you to fully identify emphysematous affected areas of the lung and adequately carry out volume reduction. Conclusion. 5-ALA can be used in surgical interventions for pulmonary emphysema to identify altered areas of the lung and resection them.

Keywords:CORD, emphysema, surgical reduction of lung volume, the level of reduction of lung tissue