Updated: 2026-01-11
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0226U000446, (0125U000547) , R & D reports
To develop an algorithm for surgical treatment of children with pulmonary and pleural tuberculosis
Вивчити результати виконання відкритих операцій та визначити показання, переваги і недоліки застосування відкритих та мініінвазивних операцій у дітей, хворих на туберкульоз легень і плеври
Opanasenko Mykola S., д.мед.н.
09-01-2026
State organization "National scientific center of phthisiatry, pulmonology and allergology named after F. G. Yanovskyi National academy of medical sciences of Ukraine"
To increase the effectiveness of surgical treatment of children with pulmonary and pleural tuberculosis
Object – 275 patients under the age of 18 with pulmonary and pleural tuberculosis who underwent surgical interventions. Aim – to increase the effectiveness of surgical treatment of children with pulmonary and pleural tuberculosis. Methods – clinical, surgical, radiological, laboratory; computed tomography, videothoracoscopic complex, videofibrobronchoscopic complex, bedside pleuroaspirator. The study of the results of open operations indicates that the overall effectiveness of treatment is 94 (90.4 ± 2.9 %) cases. Indications for both open and minimally invasive interventions are the presence of morphological irreversible changes that lead to disability and prolongation of the disease. It was established that the advantages of open operations are satisfactory visibility, a small number of unresolved postoperative complications 2 (1.9 ± 1.3 %) cases, and the disadvantages are a longer duration of surgery (214.3 ± 20.2) minutes, a greater number of intraoperative 16 (15.4 ± 3.5 %) and postoperative 24 (23.1 ± 4.1 %) complications, 8 (7.7 ± 2.6 %) cases of disease recurrence. The advantages of VATS operations are a shorter duration of surgical intervention (185.8 ± 18.5) min, a small number of intraoperative 16 (14.8 ± 3.4 %) and postoperative 19 (17.6 ± 3.7 %) complications, 2 (1.9 ± 1.3 %) relapses of the disease. The disadvantages of VATS operations are conversion to thoracotomy, unsatisfactory visibility and a greater number of unresolved postoperative complications 5 (4.6 ± 2.0 %). The overall effectiveness of VATS operations is 101 (93.5 ± 2.4 %) cases, which is 3.1 % higher than the effectiveness of open operations. A method for choosing the tactics of surgical treatment of children with pulmonary and pleural tuberculosis has been developed, the use of which allows reducing the patient's stay in the hospital by 3.5 days and reducing the frequency of intraoperative and postoperative complications by 16.5 %. Sphere of application – phthisiology, thoracic surgery.
Olha O. Melnyk
Viktor B. Bychkovskyi
Mykola S. Opanasenko
Bohdan M. Konik
Liudmyla M. Zahaba
Oleksandr V. Tereshkovych
Maksym I. Kalenychenko
Iryna V. Liskina
Yevhen M. Maietnyi
Larysa I. Levanda
Volodymyr I. Lysenko
Volodymyr V. Kuts
Oleksandra D. Shestakova
Alona M. Stepaniuk
Anhelina O. Kozykina
Mykola O. Dolbin
Nataliia M. Diachenko
Olha M. Fashchuk
Yana S. Stavytska
2026-01-09
Updated: 2026-01-11
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