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