ABSTRACT
Differentiated tactics of diagnostic videothoracoscopy (VTHS) in a pleural exudate syndrome, which ought to be treated with hydrothorax elimination and artificial pneumothorax creation, was proposed. Further roentgenological investigation permits to create a plan for the operation conduction and a certain anesthesia application. Criteria for the operation planning and the anesthesiological support choice were elaborated. Results of VTHS conduction in 261 patients in Department of Thoracic Surgery were analyzed. The differentiated tactics for the VTHS performance application have had saved the patients from the unnecessary endotracheal narcosis conduction, and reduced a pharmacological load on a patient, as well as a rate of contraindications for the operation usage and the stationary treatment duration.
Subject(s)
Hydrothorax/surgery , Lung Neoplasms/surgery , Pleural Effusion/surgery , Pleurisy/surgery , Thoracic Surgery, Video-Assisted/methods , Tuberculosis, Pulmonary/surgery , Anesthesia, General , Female , Humans , Hydrothorax/diagnostic imaging , Hydrothorax/pathology , Lung Neoplasms/diagnostic imaging , Lung Neoplasms/pathology , Male , Pleura/diagnostic imaging , Pleura/pathology , Pleura/surgery , Pleural Effusion/diagnostic imaging , Pleural Effusion/pathology , Pleurisy/diagnostic imaging , Pleurisy/pathology , Pneumothorax, Artificial/instrumentation , Pneumothorax, Artificial/methods , Precision Medicine , Retrospective Studies , Syndrome , Thoracic Surgery, Video-Assisted/instrumentation , Tomography, X-Ray Computed , Treatment Outcome , Tuberculosis, Pulmonary/diagnostic imaging , Tuberculosis, Pulmonary/pathologyABSTRACT
The impact of preoperative patients state in multiresistent pulmonary tuberculosis on results of their surgical treatment was investigated. The actions sequence with determination of optimal kind and volume of surgical intervention, depending on clinico-anatomical peculiarities of pathological process, was regulated. Algorithm of surgical treatment organization in patients, suffering multiresistent pulmonary tuberculosis, was elaborated and introduced, concerning the term and volume of preoperative examination and preparation determination, sequence of actions for determination of kind and technique of the operative intervention performance, as well as postoperative treatment issues. Application of the algorithm elaborated have guaranteed a reconvalescence of 97.6% patients with absent lethality.
