The first video-assisted thoracoscopic surgical interventions for chest wounds at a level 3 military medical organization in a special military operation zone
- Authors: Dmitrochenko I.V.1, Kim I.Y.2, Makoev K.M.3, Rabdanov M.M.3, Sharshukova N.S.3
-
Affiliations:
- The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation
- Branch No.1 of the National Medical Research Center for High Medical Technologies – The A.A.Vishnevsky Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation
- Branch No. 4 of the 1602nd Military Clinical Hospital of the Ministry of Defense of the Russian Federation
- Issue: Vol 345, No 11 (2024)
- Pages: 24-28
- Section: Treatment and prophylactic issues
- URL: https://journals.eco-vector.com/0026-9050/article/view/641826
- DOI: https://doi.org/10.52424/00269050_2024_345_11_24
- ID: 641826
Cite item
Abstract
Two clinical cases of successful surgical treatment of patients with gunshot penetrating shrapnel wounds to the chest using video-assisted thoracoscopic surgery in the area of a special military operation are presented. For the performance, an endovideosurgical complex manufactured by Karl Storz with a thoracoscope with a 30° optical system and a set of endosurgical instruments were used. Intraoperative fluoroscopy was performed using a Siemens Cios Alpha C-Arm X-ray machine. During this procedure were shown the possibilities, safety, and efficiency of rendering specialized and high-tech medical care in the military medical organization of the 3rd level. This helps to eliminate life-threatening consequences and prevent complications in victims with penetrating gunshot wounds to the chest.
Full Text

About the authors
I. V. Dmitrochenko
The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation
Author for correspondence.
Email: vmeda-na@mil.ru
кандидат медицинских наук, майор медицинской службы
Russian Federation, Saint PetersburgI. Yu. Kim
Branch No.1 of the National Medical Research Center for High Medical Technologies – The A.A.Vishnevsky Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation
Email: vmeda-na@mil.ru
подполковник медицинской службы
Russian Federation, Krasnogorsk, Moscow RegionKh. M. Makoev
Branch No. 4 of the 1602nd Military Clinical Hospital of the Ministry of Defense of the Russian Federation
Email: vmeda-na@mil.ru
подполковник медицинской службы
Russian Federation, LuganskM. M. Rabdanov
Branch No. 4 of the 1602nd Military Clinical Hospital of the Ministry of Defense of the Russian Federation
Email: vmeda-na@mil.ru
майор медицинской службы
Russian Federation, LuganskN. S. Sharshukova
Branch No. 4 of the 1602nd Military Clinical Hospital of the Ministry of Defense of the Russian Federation
Email: vmeda-na@mil.ru
Russian Federation, Lugansk
References
- Бисенков Л.Н., Чуприна А.П., Кудлай Д.А. Современные аспекты хирургического лечения ранений груди // Вестн. Рос. воен-мед. акад. – 2007. – Т. 17, № 1. – С. 35–39.
- Гончаров А.В., Маркевич В.Ю., Носов А.М. и др. Характеристика ранений груди в медицинских организациях III уровня в современных вооруженных конфликтах / К 100-летию со дня рожд. чл-корр. АМН СССР С.С.Ткаченко: Сб. тез. VIII Всерос. конгр. с междунар. участием. – СПб, 2023. – С. 43–44.
- Серговенцев А.А., Дацко А.В., Котив Б.Н. и др. Инородные тела после ранений и травм / Временные указания по лечению и военно-врачебной экспертизе. – 2023. – 60 с.
- Тришкин Д.В., Крюков Е.В., Чуприна А.П. и др. Методические рекомендации по лечению боевой хирургической травмы. – 2022. – 373 с.
- Фуфаев Е.Е., Дмитроченко И.В., Дзидзава И.И. и др. Способ идентификации, фиксации и удаления ферромагнитных инородных тел при огнестрельных проникающих ранениях груди / Патент на изобрет. № 2825952 от 29.09.2023 г.: опубл. 02.09.2024 г. // Бюл. № 25. https://www.elibrary.ru/item.asp?id=69737784
Supplementary files
