Results of application of videothoracoscopy for diagnosis of etiology of the pulmonary dissemination syndrome


Keywords: videothoracoscopy; pulmonary dissemination; biopsy

Abstract

Objective. To determine the sensitivity, specificity and precision of the videothoracoscopic (VTS) and video-assisted thoracoscopic (VATS) pulmonary biopsy in patients with pulmonary dissemination syndrome (PDS) of a vague genesis.

Маterials and methods. The data, concerning 143 patients with PDS of various etiology, to whom VTS or VATS pulmonary biopsy were performed, are analyzed and summarized. Cytological, bacteriological and pathohistological investigations of all biopsies obtained were conducted.

Results. Sensitivity, specificity and precision of the VTS and VATS pulmonary biopsy in PDS are high and do not differ essentially: 98.0, 99.0 and 95.2% and 94.7, 100.0 and 94.7% accordingly.

For the VTS and VATS pulmonary biopsy a low rate of postoperative complications - 4.8 and 7.9% accordingly, a moderate volume of the intraoperative blood loss - (20.0 ± 3.5) and (35.6 ± 4.3) ml accordingly, moderate average duration of operative intervention - (25.2 ± 2.6) and (45.1 ± 5.6) min accordingly were characteristic. The intraoperative complications rate of the VTS pulmonary biopsy have constituted 1.9%. Іntraoperative complications of the VATS pulmonary biopsy were absent.

Conclusion. Application of videothoracoscopic procedures in PDS gives possibility to establish the disease etiology rapidly and miniinvasively.

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Author Biographies


M. S. Opanasenko, Yanovskyi National Institute of Phthisiatry and Pulmonology, Kyiv

Opanasenko Mykola Stepanovych - PhD, MD, Prof.,

chief of Thoracic Surgery and Invasive Diagnostic Methods Department,

Yanovskyi National Institute of Phthisiology and Pulmonology

Ukraine, Kyiv, 10 Amosova str,

opanasenko@ifp.kiev.ua

orcid.org/0000-0003-4071-2005


B. M. Konik, Yanovskyi National Institute of Phthisiatry and Pulmonology, Kyiv

Konik Bohdan Mykolaiovych - PhD,

chief of Thoracic Surgery Departanent

Yanovskyi National Institute of Phthisiology and Pulmonology

Ukraine, Kyiv, 10 Amosova str,

orcid.org/0000-0001-9226-0173


O. K. Obremska, Yanovskyi National Institute of Phthisiatry and Pulmonology, Kyiv

Obremska Oksana Kazymyrivna - anesthesiologist

Department of Anestesiology,

Yanovskyi National Institute of Phthisiology and Pulmonology

Ukraine, Kyiv, 10 Amosova str,

orcid.org/0000-0002-6302-2296


O. V. Tereshkovych, Yanovskyi National Institute of Phthisiatry and Pulmonology, Kyiv

Tereshkovych Oleksandr Volodymyrovych - PhD,

senior scientist of Thoracic Surgery and Invasive Diagnostic Methods Department

Yanovskyi National Institute of Phthisiology and Pulmonology

Ukraine, Kyiv, 10 Amosova str,

tereshkovich@ifp.kiev.ua

orcid.org/0000-0002-7202-295X


O. E. Kshanovskyi, Yanovskyi National Institute of Phthisiatry and Pulmonology, Kyiv

Kshanovskyi Oleksii Eduardovych - PhD,

scientist of Thoracic Surgery and Invasive Diagnostic Methods Department

Yanovskyi National Institute of Phthisiology and Pulmonology

Ukraine, Kyiv, 10 Amosova str,

kshanovsky@ifp.kiev.ua

orcid.org/0000-0002-8000-9675


V. I. Lysenko, Yanovskyi National Institute of Phthisiatry and Pulmonology, Kyiv

Lysenko Volodymyr Igorovych -

surgeon of Thoracic Surgery Departanent

Yanovskyi National Institute of Phthisiology and Pulmonology

Ukraine, Kyiv, 10 Amosova str,

orcid.org/0000-0003-3920-7466


I. V. Liskina, Yanovskyi National Institute of Phthisiatry and Pulmonology, Kyiv

Liskina Iryna Valentynivna - MD,

Chef of Pathomorphologic Department

Yanovskyi National Institute of Phthisiology and Pulmonology

Ukraine, Kyiv, 10 Amosova str,

orcid.org/0000-0001-8879-2345


L. M. Zagaba, Yanovskyi National Institute of Phthisiatry and Pulmonology, Kyiv

Zagaba Lyudmila Mykhaylivna - PhD,

scientist of Pathomorphologic Department

Yanovskyi National Institute of Phthisiology and Pulmonology

Ukraine, Kyiv, 10 Amosova str,

orcid.org/0000-0002-2593-8893

Published
2018-10-29
How to Cite
Opanasenko, M. S., Konik, B. M., Obremska, O. K., Tereshkovych, O. V., Kshanovskyi, O. E., Lysenko, V. I., Liskina, I. V., & Zagaba, L. M. (2018). Results of application of videothoracoscopy for diagnosis of etiology of the pulmonary dissemination syndrome. Klinicheskaia Khirurgiia, 85(10), 36-38. https://doi.org/10.26779/2522-1396.2018.10.36
Section
General Problems of Surgery