Results of Thoracic Surgery in HIV-infected Patients
https://doi.org/10.58838/2075-1230-2023-101-2-64-70
Abstract
The objective: substantiation of the possibility of surgical treatment of various lung diseases in HIV-infected patients.
Subjects and Methods. Comorbidities, medical history, bad habits, ongoing antiretroviral therapy (ARVT), viral load and CD4+count before and after lung surgery were assessed. Blood loss during the operation, intra- and postoperative complications was analyzed. Causes of postoperative lethality were analyzed.
Results. According to results of the study, planned surgical treatment for chronic abscess, tuberculosis, cancer, mycotic pulmonary lesions and cicatricial stenosis of the trachea in HIV-infected patients is justified, and should be performed based on indications common for these diseases. This is confirmed by the level of postoperative complications in HIV-negative patients. The vast majority of complications were temporary, not severe, and were resolved by conservative treatment. Achievment of the best results is facilitated by ongoing ART.
About the Authors
A. V. Elkin
North-Western State Medical University named after I. I. Mechnikov, Russian Ministry of Health
Russian Federation
Russian Federation
leksey V. Elkin - Doctor of Medical Sciences, Professor, Head of Phthisiopulmonology and Thoracic Surgery Department
41, Kirochnaya St., St. Petersburg, 191015
Phone: +7 (962) 696-86-02
T. S. Basek
North-Western State Medical University named after I. I. Mechnikov, Russian Ministry of Health; City Tuberculosis Hospital no. 2
Russian Federation
Russian Federation
Taufik S. Basek - Candidate of Medical Sciences, Assistant of Phthisiopulmonology and Thoracic Surgery Department
41, Kirochnaya St., St. Petersburg, 191015
Phone: +7 (911) 730-57-12
G. M. Boyarkin
North-Western State Medical University named after I. I. Mechnikov, Russian Ministry of Health; City Tuberculosis Hospital no. 2
Russian Federation
Russian Federation
Grigory M. Boyarkin - Candidate of Medical Sciences, Assistant of Phthisiopulmonology and Thoracic Surgery Department
41, Kirochnaya St., St. Petersburg, 191015
Phone: +7 (911) 212-74-11
P. M. Ionov
North-Western State Medical University named after I. I. Mechnikov, Russian Ministry of Health; City Pokrov Hospital
Russian Federation
Russian Federation
Pavel M. Ionov - Post Graduate Student of Phthisiopulmonology and Thoracic Surgery Department
41, Kirochnaya St., St. Petersburg, 191015
Phone: +7 (981) 739-90-08
D. V. Alkaz
North-Western State Medical University named after I. I. Mechnikov, Russian Ministry of Health
Russian Federation
Russian Federation
Denis V. Alkaz - Post Graduate Student of Phthisiopulmonology and Thoracic Surgery Department
41, Kirochnaya St., St. Petersburg, 191015
Phone: +7 (905) 262-82-80
G. A. Yakovlev G. A.
North-Western State Medical University named after I. I. Mechnikov, Russian Ministry of Health; City Pokrov Hospital
Russian Federation
Russian Federation
Gleb A. Yakovlev - Post Graduate Student of Phthisiopulmonology and Thoracic Surgery Department
41, Kirochnaya St., St. Petersburg, 191015
Phone:+7 (921) 939-29-98
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Review
For citations:
Elkin A.V., Basek T.S., Boyarkin G.M., Ionov P.M., Alkaz D.V., Yakovlev G. A. G.A. Results of Thoracic Surgery in HIV-infected Patients. Tuberculosis and Lung Diseases. 2023;101(2):64-70. (In Russ.) https://doi.org/10.58838/2075-1230-2023-101-2-64-70
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