Dmitry Giller
I.M.Sechenov First Moscow State Medical University, Russia
Title: VATS in diagnostic and management of pulmonary tuberculosis
Biography
Biography: Dmitry Giller
Abstract
5721 thoracic operations at 5502 patients (aged from 3 till 89) were performed during the period from 1999 to 2015 by one surgeon.
73,5% of operations were for pulmonary tuberculosis, 15,8% - for oncopathology and 10,7% - for other diseases.
4011 (70,1%) operation were performed with miniaccesses and VATS.
VATS was used during 236 (31,8%) of 741 pneumonectomies and pleuropneumonectomies, 739 (72,8%) of 1015 lobectomies and bilobectomies, 695 (73,8%) of 942 anatomic polysegmentary resections, 768 (87,4%) of 879 not anatomic lung resections, 181 (84,2%) of 215 pleuroectomies, 636 (70,9%) of 897 thoracoplasties and thoracomioplasties.
Most operated patients had expressed pleural adhesions, typically for pulmonary tuberculosis.
We studied frequency and character of complications, the direct and remote results of all operations for pulmonary tuberculosis with the minimally invasive and standard accesses.
The 30-days mortality was 0,02% in the VATS group and 1% in thoracotomy group.
