Minimally invasive surgical treatment of patients with bilateral pulmonary tuberculosis complicated with pleural empyema
Journal Title: Медичні перспективи - Year 2015, Vol 20, Issue 1
Abstract
Objective of our study was to increase the effectiveness of surgical treatment of bilateral destructive pulmonary tuberculosis complicated by pleural empyema by using VTS-technologies. The study was done in Dnepropetrovsk regional clinical therapeutic and prophylactic association "Phthisiology" in the period from 2008 to 2013. A retrospective analysis of 43 cases of bilateral destructive pulmonary tuberculosis complicated by pleural empyema on one side and dissemination focus or limited destructive process on contralateral side has been performed. Selected cases were divided into 2 groups: main (eighteen cases where the following procedures were done: performed transsternal occlusion of the main bronchus, sanation of empyema cavity using videothoracosopy, in 30-45 days followed by pleuropneumectomy with usage of minithoracothomy) and control (nineteen cases who had undergone drainage of the empyema cavity, sanation, in 45-60 days followed by pleuropmeumectomy with usage of anterolateral access). The distribution of main and control groups for analyzed parameters was representative. Sanation of pleural cavity with videothoracosopy usage compared with Bulau’s drainage provides better antibacterial effect, effective sanitation of the pleural cavity as evidenced by following changes: significant decrease in the number of microbial cells; normalization of total white blood cells count and rod-shaped granulocytes in the peripheral blood 10 days after treatment; normalization of leukocyte intoxication index. The use of minimally invasive surgical treatment allowed to reduce intraoperative complications by 2 times, amount of intraoperative blood loss and hemotrasfusions by 1.5 times, postoperative mortality by 2.5 times. Pleural cavity sanation with videothoracoscopy usage with following pneumoectomy leads to reduce in the incidence and severity of postoperative complications. The most promising is stage-by-stage surgical approach with consecutive use of previous transsternal occlusion of the main bronchus and pulmonary artery branch with videothoracoscopy sanation of empyema cavity.
Authors and Affiliations
I. Korpusenko
Keywords
Related Articles
- EP ID EP105768
- DOI -
- Views 98
- Downloads 0
Рецензія на підручник «Основи екології»: підручник для студентів вищих навчальних закладів / [В.Г. Бардов, В.І. Федоренко, Е.М. Білецька та ін.]; за ред. В.Г. Бардова, В.І. Федоренко. – Вінниця: Нова Книга, 2013. – 424 с.
Клинические особенности депрессивных расстройств у больных с онкопатологией головного мозга
Метою дослідження було вивчити психопатологічну структуру та клінічні особливості депресивних розладів у хворих на онкопатологію головного мозку. Поліморфні психічні порушення різного клінічного змісту і ступеня виражено...
Результати клінічної апробації фотодинамічної терапії в комплексному лікуванні гінгівіту, який ускладнює ортодонтичне лікування із застосуванням брекет-систем
Несмотря на высокую эффективность, применение брекет-систем у ортодонтических больных способно провоцировать развитие воспалительных процессов в тканях маргинального пародонта. Целью настоящего исследования стало изучен...
Link of apoptosis level in the primary tumor at early stages of non-small cell lung cancer with efficacy of adjuvant polychemotherapy
One of the important questions in modern oncology is treatment of patients with early stages of non-small cell lung cancer (NSCLC). Adjuvant polychemotherapy (APCT) can help to improve prognosis after operation. In moder...
A comparative characteristics of patients with acute coronary syndrome according to data of Ukrainian and European registers 2009-2015
The aim of this work was to compare basic anamnestic and demographic data in Ukrainian and European groups included in the register SNAPSHOT 2009 and local group of the year2015. It was established that by the year 2015...