RESUMO
An analysis of surgical treatment of 162 patients with lung echinococcosis was made. The main group consisted of 74 patients with combined forms of echinococcosis of the lung and other organs. They were treated in clinic in the period of time since 1982 till 2011 years. The control group included of 88 patients with echinococcosis of lung and the patients were followed-up in the period of time since 1991 till 2000. Plasma technology was applied in all patients of control group. The patients from main group (25) were operated by using the conventional methods and 49 patients - with the application of plasma technology. An analysis shows a reliable reduction of the rate of postoperative complications after application of plasma technology in 4 times. The lethality significantly decreased in this group of patients.
Assuntos
Equinococose Pulmonar , Complicações Intraoperatórias/epidemiologia , Pulmão , Complicações Pós-Operatórias/epidemiologia , Procedimentos Cirúrgicos Pulmonares , Adulto , Idoso , Pesquisa Comparativa da Efetividade , Equinococose Pulmonar/diagnóstico , Equinococose Pulmonar/mortalidade , Equinococose Pulmonar/cirurgia , Feminino , Humanos , Complicações Intraoperatórias/prevenção & controle , Pulmão/diagnóstico por imagem , Pulmão/patologia , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias/prevenção & controle , Procedimentos Cirúrgicos Pulmonares/efeitos adversos , Procedimentos Cirúrgicos Pulmonares/métodos , Procedimentos Cirúrgicos Pulmonares/estatística & dados numéricos , Radiografia , Reoperação/métodos , Reoperação/estatística & dados numéricos , Reprodutibilidade dos Testes , Federação Russa/epidemiologia , Prevenção Secundária , Análise Espectral/métodos , Análise de Sobrevida , Resultado do TratamentoRESUMO
A comparative analysis of surgical treatment of 160 patients with liver echinococcosis treated by traditional surgical methods and with using plasma technologies followed by a complex assessment of the long-term results has reliably confirmed advantages of operations using the plasma flow. They were followed by less incidence of postoperative complications and recurrences of the disease. It was also confirmed by high quality of life of the contingent observed that was estimated by a specially developed questionnaire.
Assuntos
Equinococose Hepática/cirurgia , Laparotomia/instrumentação , Temperatura , Adolescente , Adulto , Idoso , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Estudos RetrospectivosRESUMO
178 patients were operated over 18 years for pulmonary echinococcosis, 100 of them with standard methods, 78--with plasma technologies (surgical device SUPR-2M). Close echinococcectomy was performed in 22.5% patients, open--in 69.1%, combination of these operations--in 8.4% patients. Plasma technologies were used at pneumolysis, cysts section, antiparasitic treatment of residual cavities, fibrous capsule resection (pericystectomy) or cystpericystectomy, marginal resection of the lung with cyst, bronchotomy, sanation of pleural cavity, zone of operation and margins of operative wound. It is demonstrated that postoperative complications were seen in 34% patients operated by standard methods and in 8.9% patients operated with plasma technologies, lethal outcomes were in 2 (2%) and 1 (1.3%) patients, respectively. Plasma technologies permitted to reduce postoperative complications rate 3.8 times and postoperative treatment by 9.8 bed days or by 45.8%. Long-term results were studied in 61 (78.2%) operated patients followed from 1 month to 7 years, there were no recurrence of echinococcosis.
Assuntos
Equinococose Pulmonar/cirurgia , Plasmaferese/instrumentação , Procedimentos Cirúrgicos Pulmonares/métodos , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pneumologia/instrumentação , Toracotomia/métodosRESUMO
During 15 years 271 patient have been operated upon in the clinic for hepatic hydatidosis. Traditional methods of operations were used in 100 of them, in 171 patients plasma technologies were applied. Plasma technologies allowed to make the number of complications 2.5-3 times rarer and the duration of postoperative treatment 18.2 bed-days shorter (51.7%). No recurrences were detected within the period from 1 month till 10 years.
