Video-assisted toracoscopy in minimally invasive surgical treatment of tuberculous pleural empyema

Authors

  • Yu. F. Коshak I. Horbachevsky Ternopil National Medical University

DOI:

https://doi.org/10.11603/2414-4533.2020.3.11468

Keywords:

tuberculosis, tuberculous pleural empyema, video-assisted thorcoscopy; video-assisted surgical resection, open pleurectomy with decortication of the lungs

Abstract

The aim of the work: to increase the possibility of videothoracoscopic diagnostics in patients with tuberculous pleural empyema: to clarify the etiology, localization, staging, prevalence of pleural empyema with the effective use of minimally invasive thoracosurgical (VTS, VATS) treatment.

Materials and Methods. A retrospective analysis was carried out of 685 cases of treatment of patients with tuberculous empyema of the pleura, who were treated over the past 10 years at the phthisiosurgical department of the regional anti-tuberculosis dispensary

Results and Discussion. The analysis of the diagnostic potential of video-assisted thoracoscopy in the verification of the morphological form of tuberculous pleural empyema in the comparison groups, which were studied retrospectively, was carried out. The leading influence of tuberculosis on the pathogenesis, clinical picture, progression of suppuration, morphological manifestations, pathohistological features of tuberculosis infection in the comparison groups is shown. The three-year survival rate increased by 15.6 % in patients of the main group, which is evidence in favor of active minimally invasive thoraco-surgical (VTS, VATS) treatment.

References

Ceimach, E.A. (2010). Empiemy pleury. Operativnye metody lecheniya. Chast III [Empyema of the pleura. Operative methods of treatment. Part III]. Tuberkulos i bolezni legkikh – Tuberculosis and Lung Diseases, 2, 5-12 [in Russian].

Shipulin, P.P. (2010). Primenenaniya raney dekortikatsii leg­kogo v lechenii ostroy empiemy pleury i nagnoivshegosya svernutogo gemotoraksa [The use of early videothoracoscopic decortication of the lung in the treatment of acute pleural empyema and festering coagulated hemothorax]. Кlinichna khirurhiia – Clinical Surgery, 10, 29-31 [in Ukrainian].

Kariev, T.M., & Sabirov, Sh.Y. (2010). Efektivnost pleurektomii pri tuberkuloznoy empiemy pleury [The effectiveness of pleurectomy for tuberculous pleural empyema]. Tuberkuloz i bolezni legkikh – Tuberculosis and Lung Diseases, 12, 29-30 [in Russian].

Opanasenko, M.S., Shalagay, S.M., & Klimets, E.V. (2017). Endoskopichni metody likuvannia pidhostrykh i khronichnykh zapalnykh zakhvoriuvan pleury [Endoscopic methods for the treatment of pidgostrichs and chronic ignition diseases of pleurisy]. Кlinichna khirurhiia – Clinical Surgery, 1, 39-42 [in Ukrainian].

Sharov, Y.K. (Ed). (2013). Empyema necessitates. Khirurgiya imeni N.I. Grekova – Surgery by N.I. Grekov, 172, 2, 57-59.

Subotic, D., Yablonskiy, P., & Sulis, G. (2016). Surgery and pleuro-pulmonary tuberculosis: a scientific literature review. J. Thorac. Dis., 8 (7), E474-E485. DOI: https://doi.org/10.21037/jtd.2016.05.59

Porcel, J.M. (2009). Tuberculous pleural effusion. Lung, 187, 263-270. DOI: https://doi.org/10.1007/s00408-009-9165-3

Ruan, S.Y., Chuang, Y.C., & Wang, J.Y. (2012). Revisiting tuberculous pleurisy: pleural fluid characteristics and diagnostic yield of mycobacterial culture in an endemic area. Thorax, 67, 822-827. DOI: https://doi.org/10.1136/thoraxjnl-2011-201363

Subotic, D., Lardines, D., & Hojski, A. (2018). Minimally invasive thoracic surgery for empyema. Breathe December, 14 (4), 302-319. DOI: https://doi.org/10.1183/20734735.025718

Downloads

Published

2020-10-26

How to Cite

Коshak Y. F. (2020). Video-assisted toracoscopy in minimally invasive surgical treatment of tuberculous pleural empyema . Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (3), 99–107. https://doi.org/10.11603/2414-4533.2020.3.11468

Issue

No. 3 (2020)

Section

EXPERIENCE OF WORK

License

Authors who publish their work in Hospital Surgery. Journal by L. Ya. Kovalchuk agree to the following terms:

  1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.  
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).