ABSTRACT
The data, concerning videothoracoscopic operations application in the acute pleural empyema treatment in 462 patients, were adduced. Efficacy of videothoracoscopic operations, using electrowelding and radiofrequency surgical complexes with possibility to eliminate pulmonary-pleural fistulas, was shown. Positive clinical effect was noted in 443 (95.9%) patients, duration of stationary treatment have constituted 11.1 days at average. The complications have had occurred in 19 (4.1%) patients. All the patients are alive.
Subject(s)
Catheter Ablation/methods , Electrocoagulation/methods , Empyema, Pleural/surgery , Lung/surgery , Pleura/surgery , Thoracic Surgery, Video-Assisted/methods , Abscess/etiology , Abscess/pathology , Acute Disease , Adolescent , Adult , Aged , Aged, 80 and over , Catheter Ablation/instrumentation , Electrocoagulation/instrumentation , Empyema, Pleural/pathology , Female , Humans , Length of Stay , Lung/pathology , Male , Middle Aged , Pleura/pathology , Postoperative Complications/prevention & control , Prospective Studies , Respiratory Tract Fistula/pathology , Respiratory Tract Fistula/surgery , Thoracic Surgery, Video-Assisted/instrumentationABSTRACT
In the clinic radiofrequency ablation (RFA) in videothoracoscopic operations (VTHO) was performed in 56 patients. Primary peripheral pulmonary cancer (PC) was revealed in 7 patients, metastatic pulmonary affection in 12, pleural affection with exudate in 37. Smallcell PC was diagnosed in 11 patients, a squamouscell one in 18, and glandular in 27. VTHO, using RFA technology, is indicated in primary or metastatic PC without possibility to perform radical intervention due to the process spread, patient's age, presence of severe concurrent diseases; refusal of patient from surgical treatment. Positive result was achieved in 54 patients. Duration of pleural drainage was 3 days at average, the patient stationary stay 4 days. Insufficient experience of application of VTHO with RFA do not permit to estimate late followup results objectively. Yet, 25 patients, in whom metastatic pleurisy was revealed, have survived more than 9 mo, in peripheral PC one patient died as a result of pulmonary thromboembolism, and the rest of patients have survived from 1 yr to 1.5 yrs.
Subject(s)
Carcinoma, Small Cell/surgery , Carcinoma, Squamous Cell/surgery , Catheter Ablation/methods , Lung Neoplasms/surgery , Pleural Effusion/surgery , Pleural Neoplasms/surgery , Pleurisy/surgery , Thoracic Surgery, Video-Assisted/methods , Adult , Aged , Carcinoma, Small Cell/mortality , Carcinoma, Small Cell/pathology , Carcinoma, Squamous Cell/mortality , Carcinoma, Squamous Cell/pathology , Drainage/methods , Female , Humans , Length of Stay/statistics & numerical data , Lung/pathology , Lung/surgery , Lung Neoplasms/mortality , Lung Neoplasms/pathology , Male , Middle Aged , Pleura/pathology , Pleura/surgery , Pleural Effusion/mortality , Pleural Effusion/pathology , Pleural Neoplasms/mortality , Pleural Neoplasms/pathology , Pleurisy/mortality , Pleurisy/pathology , Survival AnalysisABSTRACT
Experience of application of nonsuture electrowelding technologies (NEWT) was analyzed while performing open and miniinvasive thoracoscopic operations in 116 patients. No essential differences were revealed while comparing domestic and foreign electrowelding surgical instruments. Possibility of wide application of NEWT in miniinvasive videothoracoscopic surgery was demonstrated.
Subject(s)
Electrocoagulation , Thoracic Surgical Procedures/methods , Wound Closure Techniques , Adolescent , Adult , Aged , Equipment Design , Female , Humans , Male , Middle Aged , Thoracic Surgery, Video-Assisted/methods , Treatment Outcome , Wound Closure Techniques/instrumentation , Young AdultABSTRACT
Experience of videothoracoscopic pulmonary resection, using nonsuture electrowelding technology in 42 patients, was summarized. Using such technology application have guaranteed the lowering of prime cost of endoscopic intervention, in several patients it made possible to avoid a mechanical suturing application. After the operation all the patients are alive, the morbidity rate was 7.1%, a stationary treatment of a patient have constituted 5.7 days at average.
Subject(s)
Electrocoagulation/methods , Electrosurgery/methods , Lung Diseases/surgery , Thoracic Surgery, Video-Assisted/methods , Adult , Aged , Electrocoagulation/instrumentation , Electrosurgery/instrumentation , Empyema, Pleural/complications , Empyema, Pleural/surgery , Female , Humans , Lung Diseases/complications , Male , Middle Aged , Pleurisy/complications , Pleurisy/surgery , Thoracic Surgery, Video-Assisted/instrumentation , Treatment Outcome , Young AdultABSTRACT
The results of application of roentgenendovascular enbolization of bronchial arteries in the treatment of 67 patients, suffering pulmonary hemorrhage of various etiology, are adduced. Immediate hemostatic effect was achieved in 64 (95.6%) patients. The pulmonary hemorrhage recurrence while follow-up to 1 yr have occurred in 5 (7.5%) patients. Angiographic signs of the bronchial arteries affection were adduced. The possibility of the method application in the treatment of complicated forms of malignant pulmonary and mediastinal tumors was shown.
Subject(s)
Bronchial Arteries/diagnostic imaging , Bronchial Diseases/therapy , Embolization, Therapeutic/methods , Hemorrhage/therapy , Lung Diseases/therapy , Adult , Aged , Angiography , Bronchial Diseases/diagnostic imaging , Bronchial Diseases/etiology , Endovascular Procedures , Female , Hemorrhage/diagnostic imaging , Hemorrhage/etiology , Humans , Lung Diseases/diagnostic imaging , Lung Diseases/etiology , Male , Middle Aged , Treatment Outcome , Young AdultSubject(s)
Bronchial Fistula/surgery , Bronchoscopy/methods , Empyema, Pleural/surgery , Pneumothorax/surgery , Rubber , Thoracoplasty/methods , Bronchial Fistula/complications , Bronchial Fistula/diagnostic imaging , Bronchoalveolar Lavage , Bronchoscopy/instrumentation , Empyema, Pleural/complications , Empyema, Pleural/diagnostic imaging , Humans , Male , Middle Aged , Pneumothorax/complications , Pneumothorax/diagnostic imaging , Prostheses and Implants , Radiography , Thoracoplasty/instrumentation , Treatment OutcomeABSTRACT
The experience of videothoracoscopic operations, performed for various diseases of the thoracic organs, was summarized. The reduction of the operation traumaticity, the complications rate, lethality, the patients rehabilitation duration permits to consider videothoracoscopic operations as the method of choice in many thoracic diseases and trauma.
Subject(s)
Thoracic Diseases/surgery , Thoracic Injuries/surgery , Thoracic Surgery, Video-Assisted/methods , Adolescent , Adult , Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , Thoracic Diseases/epidemiology , Thoracic Diseases/etiology , Thoracic Injuries/epidemiology , Thoracic Injuries/etiology , Thoracic Surgery, Video-Assisted/instrumentation , Thoracic Surgery, Video-Assisted/statistics & numerical data , Treatment Outcome , Young AdultABSTRACT
The experience of performance of 1425 endoscopic recanalization operations, done in 864 patients for the tumor and cicatricial stenosis of trachea and bronchi, was summarized. The methods were depicted of endoscopic destruction as a definite treatment or as a successful stage of the combined treatment. The possibility there was shown of the lasers and electrocoagulation application for the respiratory ways stenosis recanalization. The passability of respiratory ways restoration was achieved in 85.2% of patients. Lethality after endoscopic operations had constituted 1.6%.
