Dynamics of ventilation parameters in patients with bilateral destructive tuberculosis after staged surgical treatment using extrapleural pneumolysis with silicone plombage and contralateral lung resection

Abstract

Aim – to study the dynamics of respiratory function indicators in patients with bilateral widespread destructive tuberculosis during staged surgeryt using extrapleural pneumolysis with silicone plombage on the side of the smallest lesion. Material and methods. The main study group consisted of 14 patients with widespread bilateral destructive tuberculosis who underwent extrapleural pneumolysis with silicone plombage (EPSP) in combination with lung resection on the opposite side. The control group included 29 patients who underwent lung resections on both sides. All patients underwent spirometry before and 3–5 weeks after each stage of surgery: FVC (forced vital capacity of the lungs) and FEV1 (forced expiratory volume in 1 second) were registered. Results. The dynamics of the spirometric study values after staged surgery in the EPSP group was a decrease in FVC by 1.05±0.47, FEV1 by 0.95±0.6 l, and in the control group – by 1.74±0.76 l and 1.33±0.5 l, respectively (p 0.05). Conclusion. The staged surgery with the use of EPSP was accompanied by a significantly smaller decrease in functional parameters and can be used in patients with widespread bilateral destructive tuberculosis with low respiratory function.

Keywords

• tuberculosis
• extrapleural pneumolysis with silicone plombage