Efficiency and safety of robot-assisted thoracoscopic lobectomies when managing pulmonary tuberculosis

P. K. Yablonsky, G. G. Kudryashov, I. V. Vasilyev, A. O. Avetisyan, A. D. Ushkov, O. P. Sokolova

Research output

Abstract

Currently, there are no doubts about the relevance of surgery as a part of integral treatment. However, minimally invasive surgeries for treatment of pulmonary tuberculosis are rarely used due to post-inflammatory changes in the pleural space and lung root. And outcomes of robot-assisted lobectomies in pulmonary tuberculosis patients have never been investigated. The objective of the study: to investigate the efficiency and safety of robot-assisted surgeries in pulmonary tuberculosis patients. Subjects and methods. Since May 2013, 56 patients suffering from focal unilateral pulmonary tuberculosis were enrolled into a prospective study, after having an adequate course of anti-tuberculosis chemotherapy. At the moment of surgery, bacillary excretion persisted in 32% of patients, and 90.5% of patients had cavities. Results. All patients had robot-assisted lobectomies using the surgical system of Da Vinci Si. The average time of surgery made 174 minutes (90-380 minutes), the blood loss made 82 ml (10-500 ml). In 2 (3%) patients, a robot-assisted access was converted into lateral thoracotomy. The frequency of post-operative surgical complications made 25% [6]. Conclusion. High clinical efficiency and safety are associated with robot-assisted lobectomies as a part of the integral treatment of pulmonary tuberculosis patients.

Original languageEnglish
Pages (from-to)28-35
Number of pages8
JournalTuberculosis and Lung Diseases
Volume96
Issue number5
DOIs
Publication statusPublished - 1 Jan 2018

Fingerprint

Pulmonary Tuberculosis
Safety
Minimally Invasive Surgical Procedures
Thoracotomy
Tuberculosis
Therapeutics
Prospective Studies
Drug Therapy
Lung

Scopus subject areas

  • Medicine(all)

Cite this

Yablonsky, P. K. ; Kudryashov, G. G. ; Vasilyev, I. V. ; Avetisyan, A. O. ; Ushkov, A. D. ; Sokolova, O. P. / Efficiency and safety of robot-assisted thoracoscopic lobectomies when managing pulmonary tuberculosis. In: Tuberculosis and Lung Diseases. 2018 ; Vol. 96, No. 5. pp. 28-35.
@article{4560a9f6b08d474ca1a4de577015dcab,
title = "Efficiency and safety of robot-assisted thoracoscopic lobectomies when managing pulmonary tuberculosis",
abstract = "Currently, there are no doubts about the relevance of surgery as a part of integral treatment. However, minimally invasive surgeries for treatment of pulmonary tuberculosis are rarely used due to post-inflammatory changes in the pleural space and lung root. And outcomes of robot-assisted lobectomies in pulmonary tuberculosis patients have never been investigated. The objective of the study: to investigate the efficiency and safety of robot-assisted surgeries in pulmonary tuberculosis patients. Subjects and methods. Since May 2013, 56 patients suffering from focal unilateral pulmonary tuberculosis were enrolled into a prospective study, after having an adequate course of anti-tuberculosis chemotherapy. At the moment of surgery, bacillary excretion persisted in 32{\%} of patients, and 90.5{\%} of patients had cavities. Results. All patients had robot-assisted lobectomies using the surgical system of Da Vinci Si. The average time of surgery made 174 minutes (90-380 minutes), the blood loss made 82 ml (10-500 ml). In 2 (3{\%}) patients, a robot-assisted access was converted into lateral thoracotomy. The frequency of post-operative surgical complications made 25{\%} [6]. Conclusion. High clinical efficiency and safety are associated with robot-assisted lobectomies as a part of the integral treatment of pulmonary tuberculosis patients.",
keywords = "Pulmonary tuberculosis, Robot-assisted lobectomies, Surgical treatment of pulmonary tuberculosis",
author = "Yablonsky, {P. K.} and Kudryashov, {G. G.} and Vasilyev, {I. V.} and Avetisyan, {A. O.} and Ushkov, {A. D.} and Sokolova, {O. P.}",
year = "2018",
month = "1",
day = "1",
doi = "10.21292/2075-1230-2018-96-5-28-35",
language = "English",
volume = "96",
pages = "28--35",
journal = "ПРОБЛЕМЫ ТУБЕРКУЛЕЗА И БОЛЕЗНЕЙ ЛЕГКИХ",
issn = "1728-2993",
publisher = "Медицина",
number = "5",

}

Efficiency and safety of robot-assisted thoracoscopic lobectomies when managing pulmonary tuberculosis. / Yablonsky, P. K.; Kudryashov, G. G.; Vasilyev, I. V.; Avetisyan, A. O.; Ushkov, A. D.; Sokolova, O. P.

In: Tuberculosis and Lung Diseases, Vol. 96, No. 5, 01.01.2018, p. 28-35.

Research output

TY - JOUR

T1 - Efficiency and safety of robot-assisted thoracoscopic lobectomies when managing pulmonary tuberculosis

AU - Yablonsky, P. K.

AU - Kudryashov, G. G.

AU - Vasilyev, I. V.

AU - Avetisyan, A. O.

AU - Ushkov, A. D.

AU - Sokolova, O. P.

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Currently, there are no doubts about the relevance of surgery as a part of integral treatment. However, minimally invasive surgeries for treatment of pulmonary tuberculosis are rarely used due to post-inflammatory changes in the pleural space and lung root. And outcomes of robot-assisted lobectomies in pulmonary tuberculosis patients have never been investigated. The objective of the study: to investigate the efficiency and safety of robot-assisted surgeries in pulmonary tuberculosis patients. Subjects and methods. Since May 2013, 56 patients suffering from focal unilateral pulmonary tuberculosis were enrolled into a prospective study, after having an adequate course of anti-tuberculosis chemotherapy. At the moment of surgery, bacillary excretion persisted in 32% of patients, and 90.5% of patients had cavities. Results. All patients had robot-assisted lobectomies using the surgical system of Da Vinci Si. The average time of surgery made 174 minutes (90-380 minutes), the blood loss made 82 ml (10-500 ml). In 2 (3%) patients, a robot-assisted access was converted into lateral thoracotomy. The frequency of post-operative surgical complications made 25% [6]. Conclusion. High clinical efficiency and safety are associated with robot-assisted lobectomies as a part of the integral treatment of pulmonary tuberculosis patients.

AB - Currently, there are no doubts about the relevance of surgery as a part of integral treatment. However, minimally invasive surgeries for treatment of pulmonary tuberculosis are rarely used due to post-inflammatory changes in the pleural space and lung root. And outcomes of robot-assisted lobectomies in pulmonary tuberculosis patients have never been investigated. The objective of the study: to investigate the efficiency and safety of robot-assisted surgeries in pulmonary tuberculosis patients. Subjects and methods. Since May 2013, 56 patients suffering from focal unilateral pulmonary tuberculosis were enrolled into a prospective study, after having an adequate course of anti-tuberculosis chemotherapy. At the moment of surgery, bacillary excretion persisted in 32% of patients, and 90.5% of patients had cavities. Results. All patients had robot-assisted lobectomies using the surgical system of Da Vinci Si. The average time of surgery made 174 minutes (90-380 minutes), the blood loss made 82 ml (10-500 ml). In 2 (3%) patients, a robot-assisted access was converted into lateral thoracotomy. The frequency of post-operative surgical complications made 25% [6]. Conclusion. High clinical efficiency and safety are associated with robot-assisted lobectomies as a part of the integral treatment of pulmonary tuberculosis patients.

KW - Pulmonary tuberculosis

KW - Robot-assisted lobectomies

KW - Surgical treatment of pulmonary tuberculosis

UR - http://www.scopus.com/inward/record.url?scp=85048808958&partnerID=8YFLogxK

U2 - 10.21292/2075-1230-2018-96-5-28-35

DO - 10.21292/2075-1230-2018-96-5-28-35

M3 - Article

AN - SCOPUS:85048808958

VL - 96

SP - 28

EP - 35

JO - ПРОБЛЕМЫ ТУБЕРКУЛЕЗА И БОЛЕЗНЕЙ ЛЕГКИХ

JF - ПРОБЛЕМЫ ТУБЕРКУЛЕЗА И БОЛЕЗНЕЙ ЛЕГКИХ

SN - 1728-2993

IS - 5

ER -