BILATERAL SIMULTANEOUS VIDEO-ASSISTED LUNG RESECTION USING A UNILATERAL ACCESS IN TUBERCULOSIS PATIENTS
https://doi.org/10.21292/2075-1230-2017-95-8-18-23
Abstract
Goal of the study: to compare two surgical tactics for the treatment of bilateral pulmonary tuberculosis.
Materials and methods: 189 patients with tuberculous lesions in both lungs underwent lung resections: 91 patients had it done simultaneously on both lungs from the unilateral intercostal-mediastinal access by video-assisted thoracoscopy; 98 patients had resections of the left and right lung done one after another, time period between resections made 20.8 ± 9.4 days on the average.
Results. When comparing two tactics – simultaneous bilateral lung resection from a unilateral access and bilateral consecutive resections the following results were obtained respectively: 100 and 96.9% of patients had sputum conversion (p = 0.09, χ2); 100 and 93.8% of patients had healing of lung cavities (p = 0.11, χ2 ). During simultaneous surgery, the risk of intra-operative blood loss exceeding 300 ml was much lower (OR = 9.94; 95% CI 8.60-11.28) as well as the risk of postoperative complications (OR = 2.11; 95% CI 1.89-2.33).
About the Authors
V. A. Karnaukhov
Tula Regional TB Dispensary no. 1
Russian Federation
Russian Federation
Head Doctor,
p/o Ilyinka, village of Petelino, Tula Region, 301105
D. V. Krasnov
Novosibirsk State Medical University;
Novosibirsk Tuberculosis Research Institute
Russian Federation
Russian Federation
Doctor of Medical Sciences, Associate Professor at FPK and PPV Tuberculosis Control Department,
52, Krasny Ave., Novosibirsk, 630091
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Review
For citations:
Karnaukhov V.A., Krasnov D.V. BILATERAL SIMULTANEOUS VIDEO-ASSISTED LUNG RESECTION USING A UNILATERAL ACCESS IN TUBERCULOSIS PATIENTS. Tuberculosis and Lung Diseases. 2017;95(8):18-23. (In Russ.) https://doi.org/10.21292/2075-1230-2017-95-8-18-23
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