Summary. Treatment of chronic lung abscesses remains a relevant problem of thoracic surgery. A key condition for clinical recovery of the patient or for optimal preoperative preparation is adequate drainage of the chronic abscess cavity. Endobronchial drainage methods are the most physiological and the least invasive. Materials and methods of research. On the basis of the clinic of the State Institution «V. T. Zaytsev Institute of General and Urgent Surgery of the National Academy of Sciences of Ukraine» 98 patients with chronic lung abscesses were examined and treated. The patients were divided into 2 groups. Patients of the main group together with anti-inflammatory drugs were systemically and locally prescribed liposomal drug «Lipin». The patients of the comparison group used traditional methods. Results and discussion. Efficiency of endobronchial drainage of a cavity of chronic abscesses is proved by positive ultrasound dynamics: acceleration of cleaning of an abscess cavity — earlier on 2,3 days, acceleration of positive ultrasound dynamics — earlier on 2,9 days. In the analysis of laboratory efficacy indicators — a significant positive effect of the specified methodology on reducing the level of endogenous intoxication is observed. Conclusions. The data obtained demonstrate the effectiveness of the proposed method of endobronchial drainage of a chronic abscess cavity together with combination anti-inflammatory therapy using Lipin and its advantage over traditional treatment regimens.

Разработан способ обработки культи долевого бронха, который обеспечивает надежную герметичность, создает более выгодные аэродинамические условия, исключает возможность инфицирования перибронхиальных тканей и плевральной полости в момент пересечения бронха и по шовным каналам в последующем. При применении данного метода достигается минимальная длина просвета культи, сохраняется кровоснабжение до уровня пересечения, техника исполнения не требует специальных инструментов и навыков. Применение ангиографических методик позволило избежать торакотомных вмешательств у больных основной группы по поводу легочного кровотечения.