Two-port videothoracoscopic surgery for pulmonary bullous emphysema

Drobayzgin E.A.; Chikinev Yu.V.; Shcherbina K.I.; Khusainov V.F.

doi:https://doi.org/10.17116/endoskop20202604122

Drobayzgin E.A.

Novosibirsk State Medical University;
Novosibirsk State Regional Clinical Hospital;
Meshalkin National Medical Research Center

ORCID: 0000-0002-3690-1316

Chikinev Yu.V.

Novosibirsk State Medical University;
Novosibirsk State Regional Clinical Hospital

ORCID: 0000-0002-6795-6678

Shcherbina K.I.

State Novosibirsk Regional Clinical Hospital

Khusainov V.F.

Novosibirsk State Medical University;
State Novosibirsk Regional Clinical Hospital

Two-port videothoracoscopic surgery for pulmonary bullous emphysema

Authors:

Drobayzgin E.A., Chikinev Yu.V., Shcherbina K.I., Khusainov V.F.

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Journal: Endoscopic Surgery. 2020;26(4): 22‑27

DOI: 10.17116/endoskop20202604122

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To cite this article:

Drobayzgin EA, Chikinev YuV, Shcherbina KI, Khusainov VF. Two-port videothoracoscopic surgery for pulmonary bullous emphysema. Endoscopic Surgery. 2020;26(4):22‑27. (In Russ.)
https://doi.org/10.17116/endoskop20202604122

Подписка 2026 Эндоскопическая хирургия (Endoscopic Surgery)

Использование инфографики авторами научных работ

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THE PURPOSE

Comparative evaluation of two-port operations and standard videothoracoscopy in patients with pulmonary bullous emphysema.

MATERIAL AND METHODS

From 2018 to 2019, 70 patients with pulmonary bullous emphysema were operated on. The extent of the operation is the resection of a bullous-altered portion of the lung tissue and subtotal parietal pleurectomy. Depending on the surgical approach, the patients were divided into two groups: Group 1 — the main (31 men and 5 women who underwent intervention through 2 ports); Group 2 — comparisons (30 men and 4 women who underwent standard videothoracoscopy). The perioperative period, the incidence of postoperative complications, and the severity of pain were analyzed.

RESULTS

It was revealed that the duration of surgery intervention, drainage of the pleural cavity, and the timing of removal of drainage from the pleural cavity were less in patients of Group 1 (p<0.05). The severity of pain on the visual analogue pain scale during the first 3 days after surgery was stronger in patients of Group 2 (p<0.01). The incidence of postoperative complications in the groups did not statistically significantly differ. Moreover, the duration of hospital stay in the postoperative period in the st Group 1 was 2.11 days less than in patients of Group 2 (p<0.01).

CONCLUSION

Interventions in patients with pulmonary bullous emphysema permit to reduce the indices of perioperative period. In terms of efficiency and safety, they are not inferior to standard videothoracoscopic operations in patients of this category.

Keywords:

pulmonary bullous emphysema

spontaneous pneumothorax

videothoracoscopy

two-port operations

Authors:

Drobayzgin E.A.

Novosibirsk State Medical University;
Novosibirsk State Regional Clinical Hospital;
Meshalkin National Medical Research Center

ORCID: 0000-0002-3690-1316

Chikinev Yu.V.

Novosibirsk State Medical University;
Novosibirsk State Regional Clinical Hospital

ORCID: 0000-0002-6795-6678

Shcherbina K.I.

State Novosibirsk Regional Clinical Hospital

Khusainov V.F.

Novosibirsk State Medical University;
State Novosibirsk Regional Clinical Hospital

Received:

22.09.2019

Accepted:

18.02.2020

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