EFFICIENCY AND SAFETY OF ROBOT-ASSISTED THORACOSCOPIC LOBECTOMIES WHEN MANAGING PULMONARYTUBERCULOSIS
https://doi.org/10.21292/2075-1230-2018-96-5-28-35
Abstract
Currently, there are no doubts about the relevance of surgery as a part of integral treatment. However, minimally invasive surgeries for treatment of pulmonary tuberculosis are rarely used due to post-inflammatory changes in the pleural space and lung root. And outcomes of robot-assisted lobectomies in pulmonary tuberculosis patients have never been investigated.
The objective of the study: to investigate the efficiency and safety of robot-assisted surgeries in pulmonary tuberculosis patients.
Subjects and methods. Since May 2013, 56 patients suffering from focal unilateral pulmonary tuberculosis were enrolled into a prospective study, after having an adequate course of anti-tuberculosis chemotherapy. At the moment of surgery, bacillary excretion persisted in 32% of patients, and 90.5% of patients had cavities.
Results. All patients had robot-assisted lobectomies using the surgical system of Da Vinci Si. The average time of surgery made 174 minutes (90-380 minutes), the blood loss made 82 ml (10-500 ml). In 2 (3%) patients, a robot-assisted access was converted into lateral thoracotomy. The frequency of post-operative surgical complications made 25% [6].
Conclusion. High clinical efficiency and safety are associated with robot-assisted lobectomies as a part of the integral treatment of pulmonary tuberculosis patients.
About the Authors
P. K. Yablonsky
St. Petersburg Research Institute of Phthisiopulmonology;
St. Petersburg University
Russian Federation
Russian Federation
Petr K. Yablonsky – Director
2-4, Ligovsky Ave., St. Petersburg, 191036
G. G. Kudryashov
St. Petersburg Research Institute of Phthisiopulmonology
Russian Federation
Russian Federation
Grigory G. Kudryashov – Chest Surgeon of Department for Surgery of Pulmonary Tuberculosis (Thoracic) no. 3
2-4, Ligovsky Ave., St. Petersburg, 191036
I. V. Vasilyev
St. Petersburg Research Institute of Phthisiopulmonology
Russian Federation
Russian Federation
Igor V. Vasilyev – Senior Researcher culosis (Thoracic) no. 3
2-4, Ligovsky Ave., St. Petersburg, 191036
A. O. Avetisyan
St. Petersburg Research Institute of Phthisiopulmonology
Russian Federation
Russian Federation
Armen O. Avetisyan – Head of Department for Surgery of Pulmonary Tuberculosis (Thoracic) no. 3.
2-4, Ligovsky Ave., St. Petersburg, 191036
A. D. Ushkov
St. Petersburg Research Institute of Phthisiopulmonology
Russian Federation
Russian Federation
Aleksey D. Ushkov – X-Ray Doctor
2-4, Ligovsky Ave., St. Petersburg, 191036
O. P. Sokolova
St. Petersburg Research Institute of Phthisiopulmonology
Russian Federation
Russian Federation
Olga P. Sokolova – Anesthesiologist and Emergency Physician
2-4, Ligovsky Ave., St. Petersburg, 191036
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Review
For citations:
Yablonsky P.K., Kudryashov G.G., Vasilyev I.V., Avetisyan A.O., Ushkov A.D., Sokolova O.P. EFFICIENCY AND SAFETY OF ROBOT-ASSISTED THORACOSCOPIC LOBECTOMIES WHEN MANAGING PULMONARYTUBERCULOSIS. Tuberculosis and Lung Diseases. 2018;96(5):28-35. (In Russ.) https://doi.org/10.21292/2075-1230-2018-96-5-28-35
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