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
In the clinic radiofrequency ablation (RFA) in videothoracoscopic operations (VTHO) was performed in 56 patients. Primary peripheral pulmonary cancer (PC) was revealed in 7 patients, metastatic pulmonary affection in 12, pleural affection with exudate in 37. Smallcell PC was diagnosed in 11 patients, a squamouscell one in 18, and glandular in 27. VTHO, using RFA technology, is indicated in primary or metastatic PC without possibility to perform radical intervention due to the process spread, patient's age, presence of severe concurrent diseases; refusal of patient from surgical treatment. Positive result was achieved in 54 patients. Duration of pleural drainage was 3 days at average, the patient stationary stay 4 days. Insufficient experience of application of VTHO with RFA do not permit to estimate late followup results objectively. Yet, 25 patients, in whom metastatic pleurisy was revealed, have survived more than 9 mo, in peripheral PC one patient died as a result of pulmonary thromboembolism, and the rest of patients have survived from 1 yr to 1.5 yrs.
Assuntos
Carcinoma de Células Pequenas/cirurgia , Carcinoma de Células Escamosas/cirurgia , Ablação por Cateter/métodos , Neoplasias Pulmonares/cirurgia , Derrame Pleural/cirurgia , Neoplasias Pleurais/cirurgia , Pleurisia/cirurgia , Cirurgia Torácica Vídeoassistida/métodos , Adulto , Idoso , Carcinoma de Células Pequenas/mortalidade , Carcinoma de Células Pequenas/patologia , Carcinoma de Células Escamosas/mortalidade , Carcinoma de Células Escamosas/patologia , Drenagem/métodos , Feminino , Humanos , Tempo de Internação/estatística & dados numéricos , Pulmão/patologia , Pulmão/cirurgia , Neoplasias Pulmonares/mortalidade , Neoplasias Pulmonares/patologia , Masculino , Pessoa de Meia-Idade , Pleura/patologia , Pleura/cirurgia , Derrame Pleural/mortalidade , Derrame Pleural/patologia , Neoplasias Pleurais/mortalidade , Neoplasias Pleurais/patologia , Pleurisia/mortalidade , Pleurisia/patologia , Análise de SobrevidaRESUMO
Experience of application of nonsuture electrowelding technologies (NEWT) was analyzed while performing open and miniinvasive thoracoscopic operations in 116 patients. No essential differences were revealed while comparing domestic and foreign electrowelding surgical instruments. Possibility of wide application of NEWT in miniinvasive videothoracoscopic surgery was demonstrated.
Assuntos
Eletrocoagulação , Procedimentos Cirúrgicos Torácicos/métodos , Técnicas de Fechamento de Ferimentos , Adolescente , Adulto , Idoso , Desenho de Equipamento , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Cirurgia Torácica Vídeoassistida/métodos , Resultado do Tratamento , Técnicas de Fechamento de Ferimentos/instrumentação , Adulto JovemRESUMO
Experience of videothoracoscopic pulmonary resection, using nonsuture electrowelding technology in 42 patients, was summarized. Using such technology application have guaranteed the lowering of prime cost of endoscopic intervention, in several patients it made possible to avoid a mechanical suturing application. After the operation all the patients are alive, the morbidity rate was 7.1%, a stationary treatment of a patient have constituted 5.7 days at average.
Assuntos
Eletrocoagulação/métodos , Eletrocirurgia/métodos , Pneumopatias/cirurgia , Cirurgia Torácica Vídeoassistida/métodos , Adulto , Idoso , Eletrocoagulação/instrumentação , Eletrocirurgia/instrumentação , Empiema Pleural/complicações , Empiema Pleural/cirurgia , Feminino , Humanos , Pneumopatias/complicações , Masculino , Pessoa de Meia-Idade , Pleurisia/complicações , Pleurisia/cirurgia , Cirurgia Torácica Vídeoassistida/instrumentação , Resultado do Tratamento , Adulto JovemRESUMO
The results of application of roentgenendovascular enbolization of bronchial arteries in the treatment of 67 patients, suffering pulmonary hemorrhage of various etiology, are adduced. Immediate hemostatic effect was achieved in 64 (95.6%) patients. The pulmonary hemorrhage recurrence while follow-up to 1 yr have occurred in 5 (7.5%) patients. Angiographic signs of the bronchial arteries affection were adduced. The possibility of the method application in the treatment of complicated forms of malignant pulmonary and mediastinal tumors was shown.
Assuntos
Artérias Brônquicas/diagnóstico por imagem , Broncopatias/terapia , Embolização Terapêutica/métodos , Hemorragia/terapia , Pneumopatias/terapia , Adulto , Idoso , Angiografia , Broncopatias/diagnóstico por imagem , Broncopatias/etiologia , Procedimentos Endovasculares , Feminino , Hemorragia/diagnóstico por imagem , Hemorragia/etiologia , Humanos , Pneumopatias/diagnóstico por imagem , Pneumopatias/etiologia , Masculino , Pessoa de Meia-Idade , Resultado do Tratamento , Adulto JovemAssuntos
Fístula Brônquica/cirurgia , Broncoscopia/métodos , Empiema Pleural/cirurgia , Pneumotórax/cirurgia , Borracha , Toracoplastia/métodos , Fístula Brônquica/complicações , Fístula Brônquica/diagnóstico por imagem , Lavagem Broncoalveolar , Broncoscopia/instrumentação , Empiema Pleural/complicações , Empiema Pleural/diagnóstico por imagem , Humanos , Masculino , Pessoa de Meia-Idade , Pneumotórax/complicações , Pneumotórax/diagnóstico por imagem , Próteses e Implantes , Radiografia , Toracoplastia/instrumentação , Resultado do TratamentoRESUMO
The experience of videothoracoscopic operations, performed for various diseases of the thoracic organs, was summarized. The reduction of the operation traumaticity, the complications rate, lethality, the patients rehabilitation duration permits to consider videothoracoscopic operations as the method of choice in many thoracic diseases and trauma.
Assuntos
Doenças Torácicas/cirurgia , Traumatismos Torácicos/cirurgia , Cirurgia Torácica Vídeoassistida/métodos , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Doenças Torácicas/epidemiologia , Doenças Torácicas/etiologia , Traumatismos Torácicos/epidemiologia , Traumatismos Torácicos/etiologia , Cirurgia Torácica Vídeoassistida/instrumentação , Cirurgia Torácica Vídeoassistida/estatística & dados numéricos , Resultado do Tratamento , Adulto JovemRESUMO
The experience of performance of 1425 endoscopic recanalization operations, done in 864 patients for the tumor and cicatricial stenosis of trachea and bronchi, was summarized. The methods were depicted of endoscopic destruction as a definite treatment or as a successful stage of the combined treatment. The possibility there was shown of the lasers and electrocoagulation application for the respiratory ways stenosis recanalization. The passability of respiratory ways restoration was achieved in 85.2% of patients. Lethality after endoscopic operations had constituted 1.6%.