Research output: Contribution to journal › Article › peer-review
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: Contribution to journal › Article › peer-review
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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 -
ID: 35688988