The structure of intra- and postoperative complications after surgery for fibrous-cavernous pulmonary tuberculosis and their impact on the surgery outcome
https://doi.org/10.21292/2075-1230-2022-100-4-33-40
Abstract
The objective: to study the frequency, structure and impact on the surgery outcome of intra- and postoperative complications after lung resections for fibrous-cavernous tuberculosis.
Subjects and Methods. A retrospective cohort analysis of intra- and postoperative complications was performed in 847 patients who underwent surgery for fibrous-cavernous pulmonary tuberculosis. Their influence on the surgery outcome was determined in accordance with the modified Russian classification of surgical errors assessment by R. M. Satava and the Accordion classification for severity of surgical complications. It has been established that the most dangerous complications that adversely affect the result of the operation are the following: injury to the cavity, vessels of the root of the lung and systemic circulation, empyema of the pleural cavity, exacerbation of tuberculosis, and pulmonary heart. These complications caused an unfavorable outcome in all 47 patients with such an outcome and led to a fatal outcome in 22 (78.6%) patients out of 28 deceased patients. Additions to the Accordion classification of postoperative complications are proposed taking into account the specific features of surgeries for tuberculosis.
About the Authors
D. E. Omelchuk
V. F. Voyno-Yasenetsky Krasnoyarsk State Medical University
Russian Federation
Russian Federation
Danil E. Omelchuk, Candidate of Medical Sciences, Head of Tuberculosis Department with Professional Development Training
1, Partizana Zheleznyaka St., Krasnoyarsk, 660022
Phone: +7 (391) 261-76-82
D. V. Krasnov
Novosibirsk Tuberculosis Research Institute; Novosibirsk State Medical University
Russian Federation
Russian Federation
Denis V. Krasnov, Doctor of Medical Sciences, Associate Professor of Tuberculosis Department, Faculty of Advanced Training and Professional Development for Medical Professionals
52, Krasny Ave., Novosibirsk, 630091
Phone: +7 (383) 203-76-93
T. I. Petrenko
Novosibirsk Tuberculosis Research Institute; Novosibirsk State Medical University
Russian Federation
Russian Federation
Tatiana I. Petrenko, Doctor of Medical Sciences, Professor of Tuberculosis Department, Faculty of Advanced Training and Professional Development for Medical Professionals
52, Krasny Ave., Novosibirsk, 630091
Phone: +7 (383) 203-78-25
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Review
For citations:
Omelchuk D.E., Krasnov D.V., Petrenko T.I. The structure of intra- and postoperative complications after surgery for fibrous-cavernous pulmonary tuberculosis and their impact on the surgery outcome. Tuberculosis and Lung Diseases. 2022;100(4):33-40. (In Russ.) https://doi.org/10.21292/2075-1230-2022-100-4-33-40
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