SURGICAL TREATMENT OF CHILDREN WITH BRONCHIECTASIS

Cover Page


Cite item

Abstract

The article presents comparative results of endosurgical and traditional surgical approach for bronchiectasis in children. The patients were divided into 2 groups depending on the surgical approach. The control group (1st group) included 26 children who underwent surgery using thoracotomy. 18 patients operated on through thoracoscopy were included in the experimental (2nd) group. Diagnostic stage, thoracoscopic lobectomy and method of treatment of lung root elements were paid an increased focus on. The authors provide a detailed description of endoscopic treatment of bronchiectasis applied in the clinic. The average duration of surgical treatment accounted for 78.3±31 min in the experimental group, duration of pleural drainage is 3.3 days and the average of postoperative hospitalization equals to 14.4±3.4 days. Four observations required conversion in the experimental group. Two patients in the experimental group developed complications such as pneumothorax and bronchial fistula. The pneumothorax was resolved by pleural drainage and the bronchial fistula was managed thoracoscopically. Three patients in the control group developed complications such as bronchial fistulas and pleural empyema in postoperative period. The bronchial fistulas were completed thoracoscopically. The effect was however lacking in one case that’s why rethoracotomy and bronchial closure were performed. The pleural empyema was removed during the recurrent surgery. It has been established that thoracoscopy is the first choice for bronchiectasis in children due to its minimum invasiveness.

About the authors

A. Yu. Razumovsky

N.I. Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation; N.F. Filatov Children City Clinical Hospital No. 13

Author for correspondence.
Email: 1595105@mail.ru
Russian Federation

A. M. Sharipov

N.I. Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation

Email: aslam72@list.ru
Russian Federation

A. B. Alkhasov

N.I. Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation; N.F. Filatov Children City Clinical Hospital No. 13

Email: 7111957@mail.ru
Russian Federation

Z. B. Mitupov

N.I. Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation; N.F. Filatov Children City Clinical Hospital No. 13

Email: zmitupov@mail.ru
Russian Federation

S. M. Bataev

N.I. Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation

Email: khassan-2@yandex.ru
Russian Federation

References

  1. Ашкрафт К.У., Холдер Т.М. Детская хирургия. - СПб.,1996. Т. 1. С. 213-220.
  2. Гамиров О.Ф. с соавт. // Детская хирургия. 1998. № 1. С. 9-11.
  3. Ибодов Х.И. Хронические приобретенные нагноительные заболевания легких у детей (диагностика и лечение): Автореф. дисс.. д-ра мед. наук. - СПб., 2003. - 43 с.
  4. Исаков Ю.Ф., Степанов Э.А., Гераськин В.И. Руководство по торакальной хирургии у детей. - М.: Медицина, 1978. - 552 с.
  5. Исаков Ю.Ф., Степанов Э.А., Разумовский А.Ю. // Хирургия. 2003. № 3. С. 22-25.
  6. Мамлеев И.А. Видеоторакоскопические операции в хирургическом лечении заболеваний органов грудной клетки у детей: Автореф. дисс.. д-ра мед. наук. - Уфа, 2004. - 48 с.
  7. Пугачев А.Г., Гайдашев Э.А., Красовский Ю.С. Хирургическое лечение бронхоэктазий у детей. - М.: Медицина, 1970. - 245 с.
  8. Пулатов А.Т. и соавт. Приобретенные хронические нагноительные заболевания легких у детей // Материалы III научно-практической конференции по детской хирургии. - Душанбе, 1994. С. 220-227.
  9. Разумовский А.Ю. с соавт. // Детская хирургия. 2006. № 4. С. 4-5.
  10. Разумовский А.Ю., Митупов З.Б. Эндоскопические операции в торакальной хирургии детского возраста. - М.: Медицина, 2010. - 302 с.
  11. Федоров К.В., Сигал Е.И., Одинцов В.В. Эндоскопическая хирургия. - М.: Гэотар-медицина, 1998.
  12. Cassina P.S. et al. // J. Thork. Cardiovas. Surg. 1999. Vol. 117, N 2. P. 234-238.
  13. Koizumi K., Haraguchi S., Hirata T. et al. Thoracoscopic surgery in children // J. Nippon Med. School. 2005. Vol. 72. Р. 34-42.
  14. Rothenberg S.S. // Pediatr. Surg. 2000. Vol. 35, N 2. P. 271-275.
  15. Rothenberg S.S. Thoracoscopic pulmonary surgery // Sem. Pediatr. Surg. 2007. Vol. 16. P. 231-237.
  16. Wansteenkiste, Verbeken E., Thomeer M. et al. Medikal thoracoscopic lung biopsy in interstitial lung disease: a prospective study of biopsy quality // Eur. Respir. J. 1999. Vol. 14, N 3. P. 585-590.

Copyright (c) 2015 Razumovsky A.Y., Sharipov A.M., Alkhasov A.B., Mitupov Z.B., Bataev S.M.

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies