Dual-port operations in surgery of bullous lung emphysema
Evgeniy A. Drobyazgin1,2, Yuriy V. Chikinev1,2, Konstantin I. Tshcherbina3, Vitaliy F. Khusainov1,2
1Novosibirsk State Medical University of Minzdrav of Russia, Novosibirsk, Russia
evgenyidrob@inbox.ru
2Novosibirsk State Regional Clinical Hospital
chikinev@mail.ru
3Novosibirsk State Regional Clinical Hospital, Novosibirsk, Russia
Keywords: bullous emphysema of the lungs, spontaneous pneumothorax, video-assisted thoracoscopy, dual-port operations, буллезная эмфизема легких, спонтанный пневмоторакс, видеоторакоскопия, двухпорто-вые операции
Abstract
The purpose of the study is to assess the perioperative period and the immediate results of dual-port operations in patients with bullous emphysema. Material and methods. The analysis of the perioperative period and the immediate results of two-port operations in patients with bullous emphysema of the lungs were performed. This surgical intervention was performed in 36 cases with bullous emphysema of the lungs (men - 31, women - 5). The average age of patients was 28.91 years. In all cases, the diagnosis was made on multispiral computer tomography of the chest. The duration of the surgical intervention, the periods of lung spread, the duration of the pleural drainage standing, the assessment of the pain syndrome, intra- and postoperative complications were assessed. Results and discussion. The intervention duration ranged from 70 to 125 minutes at the stage of implementation of the dual-port operations procedure. Now the intervention duration does not exceed 80 minutes for most cases. There were not registered any intraoperative complications. The duration of air leakage through pleural drainage was up to 1 day in 27 (75 %) patients. The duration of postoperative pain in most cases (28) did not exceed 1 day. Early postoperative complications were in 2 cases (1 - intrapleural bleeding; 1 - postoperative wound seroma). These complications were cured in both cases. The proposed access method for the surgery of bullous emphysema of the lungs can be used in a wide clinical practice. To determine the location of this method, it is necessary to compare it with other minimally invasive interventions.
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