Diagnostic and treatment properties of videotrocoscopy
Journal Title: Туберкульоз, легеневі хвороби, ВІЛ-інфекція - Year 2019, Vol 0, Issue 2
Abstract
In our time, video-assisted thoracic surgery — from English video-assisted thoracic surgery (VATS) — has become widespread in the world. This method involves the technique of videotoracoscopic (VTS) interference by the production of thoracoforms. Objective — to get know the medical and diagnostic capabilities of the VTS for the differential diagnosis of diseases of the organs of the chest cavity on the example of the clinical experience. Materials and methods. The results of 1634 VTS and VATS interferences during the period from 2008 to 2018, which were conducted at the Department of Thoracic Surgery and Invasive Diagnostic Methods of the National Institute of Phthisiology and Pulmonology named after FG Yanovsky AMS of Ukraine, are analyzed. Results and discussion. Exudative pleurisy. Diagnostic efficacy of VTS in the pleural biopsy was 99.3 %. Pulmonary dissemination syndrome. Indicators of sensitivity, diagnostic value and efficacy of the VTS and VATS of the lung biopsy with PDS were high: with VTS 98, 99.0, 95.2 %, and and with VATS 98.7, 100.0, 94, 7 % respectively. Intra-thoracic lymphadenopathy syndrome. The incompatibility level of clinical and histopathological diagnoses with ITLS was 60.6 %, in 70.7 % it led to erroneous treatment. Indicators of sensitivity, diagnostic value and performance: with VTS biopsy 90.2, 96.2, 92.3 %, and with VATS — 93.7, 97.1, 94.2 % respectively. Outbreak pericarditis. A VTS biopsy of the pericardium with its fenestration was carried out in 20 (1.6 %) patients, most often (11 (55.0 %) cases) EP occurred in systemic connective tissue diseases. Peripheral formation of the lungs. 230 videothoracoscopic resection surgical interventions were performed and 34 transthoracic needle-like biopsies of the lung, the information content of this method, in our observation was 100 %. Neoplasms of the mediastinum. 86 surgical interventions for this nosology were performed. The VTS of neoplasm removal was performed in 17 (19.8 %) observations, in 69 (80.2 %) a biopsy was performed. Pneumothorax and bullous emphysema. Pneumothorax and bullous emphysema. Completed 69 VTS resection of the lungs with an endoscopic stapler, in combination with thermo-chemical pleurodesis or parietal pleurectomy. The level of postoperative complications was 5.0 % (82 cases). The level of postoperative mortality was 4 (0.2 %). Сonclusions. VTC interventions play an important role in the diagnosis and treatment of various pathologies of the chest cavity as a result of biopsy with histological examination, they can be considered as an alternative to thoracotomy. Intervention is a low-impact and promising diagnostic and surgical treatment of diseases of the chest cavity organs.
Authors and Affiliations
Yu. I. Feschenko, M. S. Opanasenko, B. M. Konik, O. V. Tereshkovich, S. M. Shalagay, L. I. Levanda, M. Yu. Shamray, M. I. Kalenichenko, V. I. Lysenko
Keywords
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- DOI 10.30978/TB2019-2-16
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