Video-assisted toracoscopy in minimally invasive surgical treatment of tuberculous pleural empyema
DOI:
https://doi.org/10.11603/2414-4533.2020.3.11468Keywords:
tuberculosis, tuberculous pleural empyema, video-assisted thorcoscopy; video-assisted surgical resection, open pleurectomy with decortication of the lungsAbstract
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.
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