Results of surgical treatment of pericardial effusion using minimally invasive interventions
DOI:
https://doi.org/10.15587/2519-4798.2018.139623Keywords:
pericarditis, pericardial effusion, pericardiotomy, thoracoscopy, pericardioscopy, minimally invasive, surgical treatmentAbstract
Pericardial effusion is the most common pathology of the pericardium and has a diverse etiology. In case of ineffective conservative therapy and recurrent disease, surgical treatment became the method of choice. Many interventions have been proposed for the treatment of pericardial effusion, but there is no systematic approach to the choice and capacity of the surgical treatment, that can improve the effectiveness of treatment and reduce the rehabilitation period.
Aim of the study. Evaluate the results of surgical treatment of pericardial effusion using minimally invasive interventions and compare it with others proposed for now.
Materials and methods. We present the results of surgical treatment of 171 patients with pericardial effusion, treated at the ST “Zaycev V.T. Institute of General and Urgent Surgery AMS of Ukraine” from 2000 to 2017. The immediate and long-term results and the duration of the rehabilitation period are estimated.
Results. In the period of using the systemic and differentiated approach to surgical treatment, 77 patients were operated. The level of postoperative complications was 2.60% - acute right ventricular failure in 1 (1.30%) patient, pneumothorax on the side of intervention in 1 (1.30%) patient. The level of postoperative mortality was 1.30% (1 patient with acute right ventricular failure in the early postoperative period). The average number of total bed-days was 9.2 ± 2.3 days, postoperative days-days – 5.3 ± 2.0 days. The statistical difference in the number of recurrent cases, depending on the type and extent of the intervention, was not established.
Conclusions. Using a differentiated approach to the choice of tactics and the capacity of surgical interventions can reliably reduce the number of postoperative complications and level of mortality. The use of mini-invasive interventions reduces the duration of the period of treatment and rehabilitation.
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