Ways of improving the control pain symptoms and lung function after esophagectomy
The results of the application of advanced methods of postoperative pain in patients with cancer of the esophagus, which involved the use of two catheters are presented. A catheter was placed before the operation in the epidural space Th5-Th7 level, the second – in the intraoperative paravertebral space at the level of performance of thoracotomy. The study included 80 patients operated in NIST named after O.O. Shalimov for malignant tumors of the esophagus, who underwent radical surgery combined thoraco-abdominal access (Lewis or Osawa-Garlock): (control group – 40 patients who used the postoperative thoracic epidural analgesia (TEA); research group – 40 patients who used the combined post-operative analgesia (TEA + thoracic paravertebral block (TPB)). The results proved the effectiveness of the method used and the best parameters of pulmonary function after esophagectomy, as well as the absence of complications such as hypotension, and respiratory disorders.
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