RESUMO
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.
Assuntos
Ablação por Cateter/métodos , Eletrocoagulação/métodos , Empiema Pleural/cirurgia , Pulmão/cirurgia , Pleura/cirurgia , Cirurgia Torácica Vídeoassistida/métodos , Abscesso/etiologia , Abscesso/patologia , Doença Aguda , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Ablação por Cateter/instrumentação , Eletrocoagulação/instrumentação , Empiema Pleural/patologia , Feminino , Humanos , Tempo de Internação , Pulmão/patologia , Masculino , Pessoa de Meia-Idade , Pleura/patologia , Complicações Pós-Operatórias/prevenção & controle , Estudos Prospectivos , Fístula do Sistema Respiratório/patologia , Fístula do Sistema Respiratório/cirurgia , Cirurgia Torácica Vídeoassistida/instrumentaçãoRESUMO
Atypical videothoracoscopic pulmonary resection was conducted in 943 patients, using mechanical and electrowelding suture. Various variants of the intervention conduction are adduced. Duration of the patients stationary treatment have constituted at average 6.1 days, lethality--0.6%, complications have occurred in 38 (4%) patients.