COMPLICATIONS of surgical THORACOSCOPIC METHODS OF BULLOUS EMPHYSEMA TREATMENT
Yuriy Vladimirovich CHIKINEV, Evgeniy Alexandrovich DROBYAZGIN, Anatoliy Yuryevich LITVINTSEV
Novosibirsk State Medical University of Minzdrav of Russia
Keywords: буллезная эмфизема легких, методы лечения буллезной формы эмфиземы легких, спонтанный пневмоторакс, эндоскопические методы лечения в торакальной хирургии, bullous emphysema, methods of treatment of bullous emphysema, spontaneous pneumothorax, endoscopic treatment in thoracic surgery
Abstract
The objective of research: analysis of complications after performing thoracoscopic techniques of surgery procedure in patients with spontaneous pneumothorax with bullous emphysema. Material and methods. 125 medical histories of patients with performance of thoracoscopic techniques of spontaneous pneumothorax surgery (from January 2010 to December 2017) were selected to research. Bullous presence in patients was proved by multispiral computed tomography of thoracic organs. Results and discussion. Spontaneous pneumothorax was found mostly in middle-aged male patients. In the vast majority of medical histories the bullous were determined in the upper lobes of lungs, oftener in the right lung. Complications arose in 40 patients. The main complication was the prolonged air leakage. Various techniques and combinations of surgical treatment were performed to reverse this complication. It was possible to achieve positive effect in all cases of prolonged air leakage. The air leakage was stopped within 2 days, that was confirmed by the control X-ray thoracic organs monitoring. Conclusion. The complications further classifying and prevention algorithm development are essential.
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