Surgical treatment of tuberculous empyema in children

Giller D.B.; Martel' I.I.; Enilenis I.I.; Koroyev V.V.; Kesaev O.Sh.; Giller B.D.; Shcherbakova G.V.

doi:https://doi.org/10.17116/hirurgia201908122

Giller D.B.

Kafedra ftiziatrii i torakal'noĭ khirurgii FPPOV Pervogo Moskovskogo gosudarstvennogo meditsinskogo universiteta im. I.M. Sechenova

ORCID: 0000-0001-9159-0023

Martel' I.I.

M.I. Perelman Chair of Phthisiopulmonology and Thoracic Surgery I.M. Sechenov First Moscow State Medical University, Russian Ministry of Health of Russia, Moscow, Russia

Enilenis I.I.

M.I. Perelman Chair of Phthisiopulmonology and Thoracic Surgery I.M. Sechenov First Moscow State Medical University, Russian Ministry of Health of Russia, Moscow, Russia

Koroyev V.V.

Perelman Chair of Phthisiopulmonology and Thoracic Surgery, Sechenov First Moscow State Medical University of Healthcare Ministry of Russia, Moscow, Russia

Kesaev O.Sh.

M.I. Perelman Chair of Phthisiopulmonology and Thoracic Surgery I.M. Sechenov First Moscow State Medical University, Russian Ministry of Health of Russia, Moscow, Russia

Giller B.D.

Perelman Chair of Phthisiopulmonology and Thoracic Surgery, Sechenov First Moscow State Medical University of Healthcare Ministry of Russia, Moscow, Russia

Shcherbakova G.V.

Perelman Chair of Phthisiopulmonology and Thoracic Surgery, Sechenov First Moscow State Medical University of Healthcare Ministry of Russia, Moscow, Russia

ORCID: 0000-0003-2541-8692

Surgical treatment of tuberculous empyema in children

Authors:

Giller D.B., Martel' I.I., Enilenis I.I., Koroyev V.V., Kesaev O.Sh., Giller B.D., Shcherbakova G.V.

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Journal: Pirogov Russian Journal of Surgery. 2019;(8): 22‑28

DOI: 10.17116/hirurgia201908122

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To cite this article:

Giller DB, Martel' II, Enilenis II, Koroyev VV, Kesaev OSh, Giller BD, Shcherbakova GV. Surgical treatment of tuberculous empyema in children. Pirogov Russian Journal of Surgery. 2019;(8):22‑28. (In Russ.)
https://doi.org/10.17116/hirurgia201908122

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

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Abstract:

Objective — to analyze surgical treatment of tuberculous pleural empyema in children depending on the stage of the process. Material and methods. There were 82 patients aged 4—17 years with tuberculous pleural empyema. Clinical and X-ray features of different stages of disease are described. Certain types of surgical interventions at each stage of the process are analyzed. Results. In 72 children with empyema stage III 76 surgeries were performed. Postoperative complications occurred in 2 (2.6%) cases (delayed lung inflation) that required thoracocentesis with pleural drainage. There was no postoperative mortality. Conclusion. Complex treatment of tuberculous pleural empyema in children and adolescents with the use of modern surgical methods is followed by satisfactory outcomes in all patients. However, surgical technique, postoperative morbidity and hospital-stay depend on the stage of the process. Unfortunately, almost 90% of patients had empyema stage III. Therefore, minimally invasive surgery was not advisable and extensive, traumatic surgeries were required.

Keywords:

tuberculosis

pediatric surgery

pleural empyema

VATS

pleurectomy

Authors:

Giller D.B.

Kafedra ftiziatrii i torakal'noĭ khirurgii FPPOV Pervogo Moskovskogo gosudarstvennogo meditsinskogo universiteta im. I.M. Sechenova

ORCID: 0000-0001-9159-0023

Martel' I.I.

M.I. Perelman Chair of Phthisiopulmonology and Thoracic Surgery I.M. Sechenov First Moscow State Medical University, Russian Ministry of Health of Russia, Moscow, Russia

Enilenis I.I.

M.I. Perelman Chair of Phthisiopulmonology and Thoracic Surgery I.M. Sechenov First Moscow State Medical University, Russian Ministry of Health of Russia, Moscow, Russia

Koroyev V.V.

Perelman Chair of Phthisiopulmonology and Thoracic Surgery, Sechenov First Moscow State Medical University of Healthcare Ministry of Russia, Moscow, Russia

Kesaev O.Sh.

M.I. Perelman Chair of Phthisiopulmonology and Thoracic Surgery I.M. Sechenov First Moscow State Medical University, Russian Ministry of Health of Russia, Moscow, Russia

Giller B.D.

Perelman Chair of Phthisiopulmonology and Thoracic Surgery, Sechenov First Moscow State Medical University of Healthcare Ministry of Russia, Moscow, Russia

Shcherbakova G.V.

Perelman Chair of Phthisiopulmonology and Thoracic Surgery, Sechenov First Moscow State Medical University of Healthcare Ministry of Russia, Moscow, Russia

ORCID: 0000-0003-2541-8692

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References:

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