Endoscopy · Advanced

Bullous lung disease and spontaneous pneumothorax: modern aspects of diagnosis, management and surgical treatment using endoscopic technologies

Master endoscopic management of bullous disease and spontaneous pneumothorax — from diagnosis to minimally invasive surgery.

48academic hours

Advancedlevel

Distance learningmode of study

Course curriculum

Introduction and current issues of bullous lung disease and spontaneous pneumothorax
Introduction and history of the study of BEL and SP
Anatomy of the lungs and pleura and the modern understanding of the nature of pulmonary air leak
Epidemiology and etiological factors of PE and SP development
Principles of diagnosis, treatment, and rehabilitation of PE and SP
Etiological factors of PE and SP development
Radiological examinations and pulmonary function tests
Indications for surgical treatment of bullous emphysema of the lungs
Prevention, rehabilitation, spa treatment, and medical-social expert assessment of patients with pulmonary embolism and pulmonary hypertension
Practical aspects of the surgical treatment of bullous emphysema of the lung and spontaneous pneumothorax: provision and technique, postoperative management, treatment of complications
Evolution of surgical management in bullous emphysema of the lung and spontaneous pneumothorax
Material and technical equipment of the operating room and anesthesia support for performing video-thoracoscopic and video-assisted operations
Surgical approaches and types of surgical interventions in PE and SP
Indications and technique of pleural puncture, thoracocentesis and pleural cavity drainage
Technique of performing videothoracoscopic and video-assisted lung resections of various extent
Anti-recurrence operations on the pleura in BLD and SP
Perioperative complications in the surgical treatment of CLD and SP

Spontaneous pneumothorax demands quick and well-considered decisions from the surgeon, and an error in choosing tactics results in recurrence and re-hospitalization of the patient. The course is built on modern principles of thoracic surgery and covers the diagnosis of bullous disease, indications for intervention, and endoscopic treatment techniques that reduce invasiveness and recovery time.

You will confidently differentiate clinical scenarios, reasonably choose the scope of the operation, and apply video-assisted thoracoscopic technologies in practice. A structured management algorithm will help minimize the risk of recurrence and act calmly even in an emergency situation.

Pilkevich Dmitriy Nikolaevich

Thoracic surgeon, oncologist, highest category, Candidate of Medical Sciences

Thoracic surgeon and oncologist of the highest category, Candidate of Medical Sciences with more than thirty years of surgical experience. He has mastered a wide range of complex interventions on the organs of the chest and mediastinum, which makes his experience especially valuable for specialists in the surgical and oncological fields.

Thoracic surgeon, oncologist of the highest qualification category, Candidate of Medical Sciences. Work experience — 31 years. Works at the "UGMK-Zdorovye" medical center and the Ural Research Institute of Phthisiopulmonology.

Education

1993 — Chelyabinsk State Medical Institute, specialty "General Medicine"
1994 — Chelyabinsk State Medical Institute, "Surgery"
2019 — Ural State Medical University, certification cycle "Phthisiology"
2020 — Ural State Medical University, certification cycle "Oncology"
2020 — National Medical Research Center of Phthisiopulmonology and Infectious Diseases, certification cycle "Thoracic Surgery"

Continuing education

2019 — "Implantable Port Systems for the Treatment of Pain Syndrome", Aesculap Academy (Saint Petersburg)
2020 — "Current Issues of Oncology and Radiotherapy", USMU
2020 — "Surgical Methods of Treating Diseases of the Chest Organs", URIP

Professional interests

Diagnostic and therapeutic operations on the organs of the chest and mediastinum in diseases of the lungs, trachea, esophagus, and chest wall, including simultaneous cardiothoracic interventions
Reconstructive and plastic operations on the chest
Combined and extended lung resections and pneumonectomies
Tracheobronchoplastic operations
Thoracoplasty and myothoracoplasty, myoplastic operations
Therapeutic and diagnostic video-assisted thoracoscopic operations, various types of mediastinoscopy
Placement of a central venous port for chemotherapy and a pleural port for malignant pleural effusions

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