Shipulin P P, Severgin V E, Baĭdan V V, Baĭdan V I, Martyniuk V A, Kiriliuk A A
Klin Khir. 2008 Sep(9):38-40.
The experience of treatment of patients, suffering an acute or chronic pleural empyema (PE), using modern videothoracoscopic technique, was presented. The methods of operative interventions performance, using general narcosis or local anesthesia, in different severity of affection and etiology of purulent process were depicted. Comparative estimation of videothoracoscopic operations vs other methods, performed for PE, was performed. Intraoperative AIG-laser coagulation and electrocoagulation of pleural fistulas were applied for the treatment efficacy rising. There were noted the treatment efficacy rising, relatively low rate of postoperative complications (7.5%), the shortening of the patients stationary treatment period as well as postoperative rehabilitation and disability periods. All the patients are alive.
介绍了使用现代电视胸腔镜技术治疗急性或慢性脓胸（PE）患者的经验。描述了在不同病情严重程度和化脓过程病因下，采用全身麻醉或局部麻醉进行手术干预的方法。对电视胸腔镜手术与其他治疗PE的方法进行了比较评估。术中应用AIG激光凝固和胸膜瘘电凝以提高治疗效果。结果显示治疗效果提高，术后并发症发生率相对较低（7.5%），患者住院治疗时间、术后康复及残疾时间缩短。所有患者均存活。
