Moscow surgeons re-transplanted lungs to a patient with histiocytosis. Before the operation, the man spent about 100 days in intensive care on an extracorporeal membrane oxygenation machine.
Transplantologists of the Scientific Research Institute (Research Institute) of Emergency Medicine named after. N.V. Sklifosovsky performed the first successful repeated lung transplant in Russia, the press service of the Moscow Department of Health reported on October 19. Before the operation, the patient spent about 100 days in intensive care on an extracorporeal membrane oxygenation (ECMO) machine.
The man has been suffering from histiocytosis for 11 years, a disease in which air cysts form in the lungs and the organ gradually ceases to function. In 2019, doctors from the Research Institute named after. Sklifosovsky underwent a successful lung transplant, but three years later the patient was again hospitalized at the institute’s clinic, was treated in intensive care due to the progression of the disease and was transferred to an ECMO device.
In August 2023, doctors at the research institute received a suitable donor organ and decided to undergo a second transplantation. The difficulty of such an operation lies in the fact that the patient has formed adhesions and scars between the heart and lungs after the first intervention, through which it is technically difficult to get through. Attempts to dissect adhesions often lead to bleeding during and after surgery, which causes poor outcome.
The nine-hour operation was carried out by a team of surgeons under the leadership of the chief researcher of the Department of Thoracic Surgery of the Research Institute and the chief thoracic surgeon of the Moscow Department of Health Evgenia Tarabrina. Within a few days the patient was disconnected from the ECMO device, and after two weeks he was able to breathe on his own.
|Lung transplant operations are carried out at the Research Institute of Emergency Medicine named after. N.V. Sklifosovsky since 2011. During this time, more than 80 operations were performed. In 2023, doctors in Russia managed to perform several successful transplants.