BILATERAL SIMULTANEOUS VIDEO-ASSISTED LUNG RESECTION USING A UNILATERAL ACCESS IN TUBERCULOSIS PATIENTS
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-mediasti...
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| Format: | Article |
| Language: | Russian |
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New Terra Publishing House
2017-09-01
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| Series: | Туберкулез и болезни лёгких |
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| Online Access: | https://www.tibl-journal.com/jour/article/view/1029 |
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| author | V. A. Karnaukhov D. V. Krasnov |
| author_facet | V. A. Karnaukhov D. V. Krasnov |
| author_sort | V. A. Karnaukhov |
| collection | DOAJ |
| description | 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). |
| format | Article |
| id | doaj-art-3bf70347bfbe496ea5ea5a23b3735209 |
| institution | DOAJ |
| issn | 2075-1230 2542-1506 |
| language | Russian |
| publishDate | 2017-09-01 |
| publisher | New Terra Publishing House |
| record_format | Article |
| series | Туберкулез и болезни лёгких |
| spelling | doaj-art-3bf70347bfbe496ea5ea5a23b37352092025-08-20T03:02:30ZrusNew Terra Publishing HouseТуберкулез и болезни лёгких2075-12302542-15062017-09-01958182310.21292/2075-1230-2017-95-8-18-231029BILATERAL SIMULTANEOUS VIDEO-ASSISTED LUNG RESECTION USING A UNILATERAL ACCESS IN TUBERCULOSIS PATIENTSV. A. Karnaukhov0D. V. Krasnov1Tula Regional TB Dispensary no. 1Novosibirsk State Medical University; Novosibirsk Tuberculosis Research InstituteGoal 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).https://www.tibl-journal.com/jour/article/view/1029bilateral tuberculosissurgical treatmentsimultaneous bilateral lung resectionunilateral intercostal-mediastinal access |
| spellingShingle | V. A. Karnaukhov D. V. Krasnov BILATERAL SIMULTANEOUS VIDEO-ASSISTED LUNG RESECTION USING A UNILATERAL ACCESS IN TUBERCULOSIS PATIENTS Туберкулез и болезни лёгких bilateral tuberculosis surgical treatment simultaneous bilateral lung resection unilateral intercostal-mediastinal access |
| title | BILATERAL SIMULTANEOUS VIDEO-ASSISTED LUNG RESECTION USING A UNILATERAL ACCESS IN TUBERCULOSIS PATIENTS |
| title_full | BILATERAL SIMULTANEOUS VIDEO-ASSISTED LUNG RESECTION USING A UNILATERAL ACCESS IN TUBERCULOSIS PATIENTS |
| title_fullStr | BILATERAL SIMULTANEOUS VIDEO-ASSISTED LUNG RESECTION USING A UNILATERAL ACCESS IN TUBERCULOSIS PATIENTS |
| title_full_unstemmed | BILATERAL SIMULTANEOUS VIDEO-ASSISTED LUNG RESECTION USING A UNILATERAL ACCESS IN TUBERCULOSIS PATIENTS |
| title_short | BILATERAL SIMULTANEOUS VIDEO-ASSISTED LUNG RESECTION USING A UNILATERAL ACCESS IN TUBERCULOSIS PATIENTS |
| title_sort | bilateral simultaneous video assisted lung resection using a unilateral access in tuberculosis patients |
| topic | bilateral tuberculosis surgical treatment simultaneous bilateral lung resection unilateral intercostal-mediastinal access |
| url | https://www.tibl-journal.com/jour/article/view/1029 |
| work_keys_str_mv | AT vakarnaukhov bilateralsimultaneousvideoassistedlungresectionusingaunilateralaccessintuberculosispatients AT dvkrasnov bilateralsimultaneousvideoassistedlungresectionusingaunilateralaccessintuberculosispatients |