Surgical Treament of the Patients with Pulmonary Tuberculosis using Videothoracoscopic Interventions

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Published Sep 20, 2022
DOI: https://doi.org/10.18103/mra.v10i9.3091

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Opanasenko Mykola, MD
Professor, chief medical officer, Head of the Department of Thoracic Surgery and Invasive Diagnostic Methods at the State University "National Institute of Phthisiology and Pulmonology FG Yanovsky NAMS of Ukraine », Kyiv, street. Amosova 10.
Tereshkovych Oleksandr, MD.
Deputy chief physician of State University "National Institute of Phthisiology and Pulmonology". FG Yanovsky NAMS of Ukraine », Kyiv, street. Amosova 10
Konik Bohdan, PhD
Head of the department of surgical treatment of tuberculosis and non-specific diseases of the lungs complicated by purulent-septic infections State Enterprise "National Institute of Phthisiology and Pulmonology" FG Yanovsky NAMS of Ukraine », Kyiv, street. Amosova 10
Lysenko Volodymyr, Junior Researcher
Department of Thoracic Surgery and Invasive Diagnostic Methods, State University "National Institute of Phthisiology and Pulmonology". F. G. Yanovsky NAMS of Ukraine », Kyiv, street. Amosova 10
Shalahai Serhii, Senior Researcher
Department of Thoracic Surgery and Invasive Diagnostic Methods, State University & National Institute of Phthisiology and Pulmonology". F. G. Yanovsky NAMS of Ukraine », Kyiv, street. Amosova 10
Levanda Larysa
Head of the Department of Anesthesiology, DU "National Institute of Phthisiology and Pulmonology. FG Yanovsky NAMS of Ukraine », Kyiv, street. Amosova 10
Kalenychenko Maksym, PhD, Researcher
Department of Thoracic Surgery and Invasive Diagnostic Methods, State Institution “National Institute of Tuberculosis and Pulmonology named after F.G. Yanovsky National Academy of Medical Sciences of Ukraine & Kyiv, street Amosova 10
Shamrai Maksym, Anesthetist
Department of anesthesiology, State University & National Institute of Phthisiology and Pulmonology. FG Yanovsky NAMS of Ukraine », Kyiv, street. Amosova 10.
Stepaniuk Alona
Surgeon in the department of surgical treatment of tuberculosis and non-specific diseases of the lungs complicated by purulent-septic infections State Enterprise & National Institute of Phthisiology and Pulmonology & FG Yanovsky NAMS of Ukraine », Kyiv, street. Amosova 10
Bilokon Serhii, Junior Researcher
Department of Thoracic Surgery and Invasive Diagnostic Methods of the State University & National Institute of Phthisiology and Pulmonology & FG Yanovsky NAMS of Ukraine », Kyiv, street. Amosova 10
Shestakova Oleksandra, Anesthetist
Department of anesthesiology, State University "National Institute of Phthisiology and Pulmonology". FG Yanovsky NAMS of Ukraine », Kyiv, street. Amosova 10

Abstract

Introduction. Pulmonary tuberculosis is a serious problem as in Ukraine as throughout the world. The number of patients with pulmonary tuberculosis is increasing year by year, which is due to the difficulties in early detection of this disease.


The aim. To determine the effectiveness of surgical treatment of patients with pulmonary tuberculosis by using video-assisted thoracoscopic interventions.


Methods. In the Department of Thoracic Surgery of the State University "National Institute of Phthisiology and Pulmonology named after F. G. Yanovsky NAMS of Ukraine" from 2008 to 2022 140 video assisted lung resections were performed in a planned manner for phthisis-surgical patients. The distribution according to the type of resection intervention was as follows: atypical segmental resection - in 30 (21.4 %) cases, typical segmentectomy – in 50 (35.7 %), lobectomy - in 52 (37.2 %), bilobectomy – in 3 (2.1 %), pulmonectomy – in 5 (3.6 %).


The results. The average duration of operative VATS resection interventions was (75.1 ± 22.3) min., intraoperative blood loss was (85.4 ± 1.6) ml, duration of narcotic analgesics prescription in patients with video-assisted thoracoscopic lung resections was (2.20 ± 0.04) days. Early mobilization of patients recorded in 112 (80.0 ± 3.4) cases. The average length of stay of the patient in the intensive care unit after video-assisted thoracoscopic lung resection was (2.6 ± 0.8) days, length of stay of the patient in the hospital in the postoperative period was (12.4 ± 0.5) days. Intraoperative complications were diagnosed in 7 (5.0 ± 1.8) % of patients. The rate of postoperative complications was 22 (15.7 ± 3.1) % of observation. There was no postoperative mortality after minimally invasive surgical interventions. The overall efficiency of performing video-assisted thoracoscopic lung resections was 97.1 %.


Conclusion. The use of video-assisted thoracoscopic is a convenient, effective and low-traumatic method in the treatment of patients with pulmonary tuberculosis. The overall effectiveness of video-assisted thoracoscopic methods for pulmonary tuberculosis was 97.1 %. An adequate assessment of the possibility of performing video-assisted thoracoscopic and the use of methods to prevent complications ensures a predictable course of the intra- and postoperative periods and increases the effectiveness of surgical interventions.

Article Details

How to Cite
MYKOLA, Opanasenko et al. Surgical Treament of the Patients with Pulmonary Tuberculosis using Videothoracoscopic Interventions. Medical Research Archives, [S.l.], v. 10, n. 9, sep. 2022. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/3091>. Date accessed: 25 apr. 2024. doi: https://doi.org/10.18103/mra.v10i9.3091.
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Issue
Vol 10 No 9 (2022): Vol.10 Issue 9 September 2022
Section
Research Articles

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