COMPARATIVE CHARACTERISTICS OF THORACOSCOPIC SURGERY FOR SPONTANEOUS PNEUMOTHORAX

Comparative analysis of thoracoscopic methods of surgical treatment of spontaneous pneumothorax with bullous emphysema was performed. The material has been collected during the retrospective study of the medical documentation of the Department of Thoracic Surgery of the Novosibirsk State Regional Cl...

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Main Authors: Y. V. Chikinev, Y. A. Drobyazgin, A. Y. Litvintsev, K. I. Shcherbina
Format: Article
Language:Russian
Published: Russian Academy of Sciences, Siberian Branch Publishing House 2019-02-01
Series:Сибирский научный медицинский журнал
Subjects:
Online Access:https://sibmed.elpub.ru/jour/article/view/26
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author Y. V. Chikinev
Y. A. Drobyazgin
A. Y. Litvintsev
K. I. Shcherbina
author_facet Y. V. Chikinev
Y. A. Drobyazgin
A. Y. Litvintsev
K. I. Shcherbina
author_sort Y. V. Chikinev
collection DOAJ
description Comparative analysis of thoracoscopic methods of surgical treatment of spontaneous pneumothorax with bullous emphysema was performed. The material has been collected during the retrospective study of the medical documentation of the Department of Thoracic Surgery of the Novosibirsk State Regional Clinical Hospital of Ministry of Health of the RF. During the seven-year period from 2010 to 2017, 125 medical cases with different diagnoses were selected such as: spontaneous pneumothorax; bullous emphysema; recurrent spontaneous pneumothorax. The analysis of the entry criteria were specific pathological picture of chest organs multispiral computed tomography. The withdrawal criteria were conversion associated with technical complexity due to evident adhesive process (12 cases). The vast majority of complications were observed in patients underwent thoracoscopic lung resection. The manual intracorporal suture overlap on the lung tissue leads to a greater risk of prolonged air leakage in the postoperative period. Bullous diathermocoagulation has a small risk of prolonged air leakage in the postoperative period. The study findings require the development of an algorithm for spontaneous pneumothorax case management to reduce possible complications.
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spelling doaj.art-47bd3f791e38428b8cca65bd35b0842a2024-03-07T18:49:56ZrusRussian Academy of Sciences, Siberian Branch Publishing HouseСибирский научный медицинский журнал2410-25122410-25202019-02-01382525510.15372/SSMJ2018020826COMPARATIVE CHARACTERISTICS OF THORACOSCOPIC SURGERY FOR SPONTANEOUS PNEUMOTHORAXY. V. Chikinev0Y. A. Drobyazgin1A. Y. Litvintsev2K. I. Shcherbina3Novosibirsk State Medical University of Minzdrav of RussiaNovosibirsk State Medical University of Minzdrav of RussiaNovosibirsk State Medical University of Minzdrav of RussiaNovosibirsk State Medical University of Minzdrav of RussiaComparative analysis of thoracoscopic methods of surgical treatment of spontaneous pneumothorax with bullous emphysema was performed. The material has been collected during the retrospective study of the medical documentation of the Department of Thoracic Surgery of the Novosibirsk State Regional Clinical Hospital of Ministry of Health of the RF. During the seven-year period from 2010 to 2017, 125 medical cases with different diagnoses were selected such as: spontaneous pneumothorax; bullous emphysema; recurrent spontaneous pneumothorax. The analysis of the entry criteria were specific pathological picture of chest organs multispiral computed tomography. The withdrawal criteria were conversion associated with technical complexity due to evident adhesive process (12 cases). The vast majority of complications were observed in patients underwent thoracoscopic lung resection. The manual intracorporal suture overlap on the lung tissue leads to a greater risk of prolonged air leakage in the postoperative period. Bullous diathermocoagulation has a small risk of prolonged air leakage in the postoperative period. The study findings require the development of an algorithm for spontaneous pneumothorax case management to reduce possible complications.https://sibmed.elpub.ru/jour/article/view/26спонтанный пневмотораксэндоскопические методы лечения в торакальной хирургии
spellingShingle Y. V. Chikinev
Y. A. Drobyazgin
A. Y. Litvintsev
K. I. Shcherbina
COMPARATIVE CHARACTERISTICS OF THORACOSCOPIC SURGERY FOR SPONTANEOUS PNEUMOTHORAX
Сибирский научный медицинский журнал
спонтанный пневмоторакс
эндоскопические методы лечения в торакальной хирургии
title COMPARATIVE CHARACTERISTICS OF THORACOSCOPIC SURGERY FOR SPONTANEOUS PNEUMOTHORAX
title_full COMPARATIVE CHARACTERISTICS OF THORACOSCOPIC SURGERY FOR SPONTANEOUS PNEUMOTHORAX
title_fullStr COMPARATIVE CHARACTERISTICS OF THORACOSCOPIC SURGERY FOR SPONTANEOUS PNEUMOTHORAX
title_full_unstemmed COMPARATIVE CHARACTERISTICS OF THORACOSCOPIC SURGERY FOR SPONTANEOUS PNEUMOTHORAX
title_short COMPARATIVE CHARACTERISTICS OF THORACOSCOPIC SURGERY FOR SPONTANEOUS PNEUMOTHORAX
title_sort comparative characteristics of thoracoscopic surgery for spontaneous pneumothorax
topic спонтанный пневмоторакс
эндоскопические методы лечения в торакальной хирургии
url https://sibmed.elpub.ru/jour/article/view/26
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AT aylitvintsev comparativecharacteristicsofthoracoscopicsurgeryforspontaneouspneumothorax
AT kishcherbina comparativecharacteristicsofthoracoscopicsurgeryforspontaneouspneumothorax