Summary
doi: 10.25005/2074-0581-2015-17-2-19-25
Comparative assessment of external respiratory function in patients who underwent videoendoscopic and thoracotomic operation in complicated echinococcosis of lungs
Republican Scientific Center of Cardiovascular Surgery
Chair of surgical diseases №2 Avicenna TSMU
A comparative assessment of respire tory function in 115 patients who underwent videoendoscopic and thoracotomic surgery in complicated echinococcosis of lung (OEL) was presented.
In the postoperative period, on the 7th day in both groups, as compared to the preoperative period, there was a statistically significant decline in external respiratory function (ERF) in the control group where they are more marked: the vital capacity of the lungs (VCL) (before the operation – 3,04±0,08 and 2,58±0,05 – after surgery, p<0,001), which is probably due to the fact that large complicated cysts beside mechanical compression leads to inflammation of the surrounding lung tissue and tracheobronchial tree. In addition, surgical trauma is performed using a wide thoracotomy, which leads to disruption of the integrity of musculoskeletal framework, thereby, to worsening respiratory function parameters.
Comparing the postoperative spirometry after 1 month in both groups showed a statistically significant advantage in terms of the main group from control: LCL (endoscopic echinococcectomy of lung – 3,54±0,06 and 2,49±0,05 – the traditional method, p<0,001 ), FVCL (3,12±0,11 – in the main group and 1,73±0,08 – in controls, p<0,001). Performance analysis of ERF in both groups showed significant changes indicated for functional disorders, depending on the nature of lesion and complications in this disease, with the most marked good results after fiber bronchoscopic chitinectomy, VATS echinococcectomy.
Keywords: complicated hydatid disease of lung , fiberbronchoscopic chitinectomy, echinococcectomy, videothoracoscopy, external respiratory function.
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