Pulmonary function aftere sophagectomy depending on the type of post operative analgesia
Presented lung function depending on the type of postoperative analgesia in patients with esophageal cancer. An improved method of postoperative analgesia was using two catheters. A first 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 A.A. Shalimov of malignant tumors of the esophagus, who underwent radical surgery combined thoraco-abdominal access (Lewis or Garlock-Osawa): (control group - for 40 patients used postoperative thoracic epidural analgesia (TEA); research group - for 40 patients used the combined post-operative analgesia (TEA + thoracic paravertebral block)). The results proved the effectiveness of the method used and the best parameters of pulmonary function after esophagectomy.