COMPARATIVE ASSESSMENT OF THORACOSCOPY AND DESTRUCTION OF PULMONARY BULLAS COMBINED WITH PLEURODESIS AND PLEURECTOMY

• Main Authors: Yu. V. Chikinev, E. A. Drobyazgin, K. A. Piontkovskaya, M. G. Pustovetova, K. I. Shcherbina
• Format: Article
• Language: Russian
• Published: Pavlov First Saint Petersburg State Medical University 2016-04-01
• Series: Вестник хирургии имени И.И. Грекова
• Subjects: bullous emphysema of the lung; pleurodesis; pleuroectomy; assessment of efficacy of thoracoscopic surgeries
• Online Access: https://www.vestnik-grekova.ru/jour/article/view/190

The article presents the results of thoracoscopic surgeries in case of bullous emphysema of the lung in 88 patients. The patients have been divided into 2 groups according to the method of treatment: 1) destruction of pulmonary bullas and pleurodesis using diathermic electrocoagulation (42 people); 2) destruction of pulmonary bullas and subtotal pleurectomy (47 people). The operative periods weren’t statistically differentiated in patient’s groups. The volume of hemorrhage and exudation period from the pleural cavity were significantly higher in patient’s group, where patients underwent pleurectomy. However, lung spreading terms and ending of air leakage, periods of drains removal from the pleural cavity, hospital stay and rate of pneumothorax recurrence were considerably smaller in the group without application of pleurodesis.