Treatment of postoperative complications in cardiothoracic surgery: single-center 10-year experience

Bazarov D.V.; Grigorchuk A.Yu.; Povolotskaya O.B.; Kazaryan G.A.; Charchyan E.R.; Vyzhigina M.A.; Nikoda V.V.; Boranov E.V.; Kavochkin A.A.; Kabakov D.G.; Zelyanin A.S.

doi:https://doi.org/10.17116/hirurgia202412266

Bazarov D.V.

Petrovsky National Research Center of Surgery

ORCID: 0000-0002-2888-419X

Grigorchuk A.Yu.

Petrovsky National Research Center of Surgery

ORCID: 0000-0001-7742-2568

Povolotskaya O.B.

Petrovsky National Research Center of Surgery

ORCID: 0000-0002-6262-4420

Kazaryan G.A.

Petrovsky National Research Center of Surgery

ORCID: 0000-0002-0545-9078

Charchyan E.R.

Petrovsky National Research Center of Surgery

SPIN RSCI: 4641-0523
Scopus AuthorID: 14044681400
ORCID: 0000-0002-0488-2560

Vyzhigina M.A.

Petrovsky National Research Center of Surgery

ORCID: 0000-0002-6024-0191

Nikoda V.V.

Petrovsky National Research Center of Surgery

ORCID: 0000-0001-9605-254X

Boranov E.V.

Petrovsky National Research Center of Surgery

ORCID: 0000-0001-5250-1147

Kavochkin A.A.

Petrovsky National Research Center of Surgery

ORCID: 0000-0003-4527-8455

Kabakov D.G.

Petrovsky National Research Center of Surgery

ORCID: 0000-0003-0587-0841

Zelyanin A.S.

Petrovsky National Research Center of Surgery;
Lomonosov Moscow State University

ORCID: 0000-0003-0969-9594

Treatment of postoperative complications in cardiothoracic surgery: single-center 10-year experience

Authors:

Bazarov D.V., Grigorchuk A.Yu., Povolotskaya O.B., Kazaryan G.A., Charchyan E.R., Vyzhigina M.A., Nikoda V.V., Boranov E.V., Kavochkin A.A., Kabakov D.G., Zelyanin A.S.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2024;(12‑2): 66‑71

DOI: 10.17116/hirurgia202412266

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To cite this article:

Bazarov DV, Grigorchuk AYu, Povolotskaya OB, et al. . Treatment of postoperative complications in cardiothoracic surgery: single-center 10-year experience. Pirogov Russian Journal of Surgery. 2024;(12‑2):66‑71. (In Russ.)
https://doi.org/10.17116/hirurgia202412266

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

Использование инфографики авторами научных работ

OBJECTIVE

To evaluate the results of treatment of postoperative complications in one surgical center over 10 years.

MATERIAL AND METHODS

There were 100 patients with intrapleural complications and indications for surgical correction after various cardiothoracic interventions between 2013 and 2023.

RESULTS

Mortality after thoracoscopic surgeries for cardiothoracic complications was 5%. There were 3 patients after on-pump cardiac and aortic surgeries, 1 patient after right-sided pneumonectomy with resection of the tracheobronchial angle. In all cases, the indication for video-assisted thoracoscopy was pulmonary-pleural complications with sepsis. One patient died after repeated VATS. This was a 66-year-old patient with severe mitral and tricuspid regurgitation. Postoperative period was accompanied by severe respiratory failure and hemopneumothorax that required emergency VATS surgery for hemostasis and one-stage tracheostomy. Despite the intensive care, the patient died under progressive multiple organ failure. Other patients were discharged.

CONCLUSION

Thoracoscopic technologies allow for complete debridement of the pleural cavities and mediastinum, as well as elimination of causes of complications. Interdisciplinary interaction and trust are necessary for successful treatment of postoperative complications in cardiothoracic surgery.

Keywords:

video-assisted thoracoscopic surgery

VATS

thoracoscopy

complications

hemothorax

empyema

chylothorax

hemopericardium

pneumothorax

Authors:

Bazarov D.V.

Petrovsky National Research Center of Surgery

ORCID: 0000-0002-2888-419X

Grigorchuk A.Yu.

Petrovsky National Research Center of Surgery

ORCID: 0000-0001-7742-2568

Povolotskaya O.B.

Petrovsky National Research Center of Surgery

ORCID: 0000-0002-6262-4420

Kazaryan G.A.

Petrovsky National Research Center of Surgery

ORCID: 0000-0002-0545-9078

Charchyan E.R.

Petrovsky National Research Center of Surgery

SPIN RSCI: 4641-0523
Scopus AuthorID: 14044681400
ORCID: 0000-0002-0488-2560

Vyzhigina M.A.

Petrovsky National Research Center of Surgery

ORCID: 0000-0002-6024-0191

Nikoda V.V.

Petrovsky National Research Center of Surgery

ORCID: 0000-0001-9605-254X

Boranov E.V.

Petrovsky National Research Center of Surgery

ORCID: 0000-0001-5250-1147

Kavochkin A.A.

Petrovsky National Research Center of Surgery

ORCID: 0000-0003-4527-8455

Kabakov D.G.

Petrovsky National Research Center of Surgery

ORCID: 0000-0003-0587-0841

Zelyanin A.S.

Petrovsky National Research Center of Surgery;
Lomonosov Moscow State University

ORCID: 0000-0003-0969-9594

Received:

16.08.2024

Accepted:

13.09.2024

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