Repin Iu M, El'kin A V, Riasnianskaia T B, Trofimov M A
Probl Tuberk. 1998(3):41-5.
The results of 240 complex polysegmental resections of the lung for tuberculosis at multiple sites are analyzed. Surgical risk factors associated with additional surgical elements, such as expansion of an interventional area in the lung outside anatomic resection, traumatic elements of correction of volumetric ratios, and special procedures for isolating the lung from adhesions. Complex polysegmental resections as an anatomic variant without additional elements provide a high direct surgical effectiveness (95-100%) without deaths. The efficiency of complex polysegmental resections as a combined variant using additional elements reduces the effectiveness of treatment to 88% with 4.5-7.4% death rates in relation to the type of an operation. There is a high risk of postoperative complications in optional polysegmental and lobe + segment resections.
分析了240例因多处肺结核进行的复杂多节段肺切除术的结果。与其他手术因素相关的手术风险因素，如在解剖切除范围之外扩大肺部介入区域、校正体积比的创伤因素以及将肺与粘连分离的特殊程序。作为一种无其他因素的解剖学变异，复杂多节段切除术具有很高的直接手术有效性（95-100%）且无死亡病例。作为使用其他因素的联合变异，复杂多节段切除术的效率将治疗有效性降低至88%，根据手术类型，死亡率为4.5-7.4%。在选择性多节段和肺叶+节段切除术中，术后并发症风险很高。
