Experience with endoscopic valvular broncoblockation

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Background. Thoracic surgical interventions in some patients are associated with a high risk of complications and mortality in the postoperative period, and may also be contraindicated due to functional limitations. Circumstances dictate the need to focus on methods of local impact on cavities in the lungs and residual cavities in the pleural space in order to quickly eliminate them, in particular, on endoscopic valvular broncoblockation (EVBB).

Objective. Assessment of the possibility of using endoscopic valvular broncoblockation in patients with pulmonary pathologies of various etiologies.

Methods. Radiological (radiography, fluoroscopy, multislice computed tomography) and endoscopic (tracheobronchoscopy, exploratory broncho-occlusion) methods, as well as their combination (selective bronchography) were used.

Results. In 110 cases, EVBB was performed to treat patients with destructive pulmonary tuberculosis, including in 58 cases with infiltrative tuberculosis, in 38 patients with disseminated tuberculosis and in 14 cases with fibrous-cavernous tuberculosis.

Conclusion. The use of an endobronchial valve in combination with PTCT is an effective non-drug method of treating patients with destructive pulmonary tuberculosis, which improves the results of their treatment and reduces the number of patients for whom surgical intervention is indicated.

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作者简介

N. Samorodov

Republican Tuberculosis Dispensary

Email: 89151479832@mail.ru
ORCID iD: 0000-0002-0013-5752
俄罗斯联邦, Nalchik

Zh. Sabanchieva

Kabardino-Balkarian State University n.a. Kh.M. Berbekov

Email: 89151479832@mail.ru
ORCID iD: 0000-0002-9103-0648
俄罗斯联邦, Nalchik

S. Shmeleva

Moscow University of Technology and Management n.a. K.G. Razumovsky

编辑信件的主要联系方式.
Email: 89151479832@mail.ru
ORCID iD: 0000-0003-0390-194X

Dr. Sci. (Med.), Professor

俄罗斯联邦, Moscow

E. Dubrovinskaya

Moscow University of Technology and Management n.a. K.G. Razumovsky

Email: 89151479832@mail.ru
ORCID iD: 0000-0003-4208-5877
俄罗斯联邦, Moscow

参考

  1. Нечаева О.Б., Сон И.М., Гордина А.В. и др. Ресурсы и деятельность противотуберкулезных организаций Российской Федерации в 2019–2020 гг. (статистические материалы). М.: РИО ЦНИИОИЗ, 2021. 112 с. [Nechaeva O.B., Son I.M., Gordina A.V., et al. Resources and activities of anti-tuberculosis organizations of the Russian Federation in 2019–2020. (statistical materials). M.: RIO TSNIIOIZ, 2021. 112 p. (In Russ.)].
  2. Марьяндышев А.О., Кулижская А.И., Химова Е.С. и др. Использование укороченных схем лечения туберкулеза с множественной лекарственной устойчивостью в Архангельской, Мурманской, Белгородской областях. Туберкулез и болезни легких. 2019;97(7):5–10:123. [Maryandyshev A.O., Kulizhskaya A.I., Himova E.S., et al. The use of shortened treatment regimens for multidrug-resistant tuberculosis in Arkhangelsk, Murmansk, Belgorod areas. Tuberculosis and lung diseases. 2019;97(7):5–10:123. (In Russ.)].
  3. Омельчук Д.Е., Краснов Д.В., Петренко Т.И., Большакова И.А. Непосредственные результаты резекций легкого у больных фиброзно-кавернозным туберкулезом. Туберкулез и болезни легких. 2019;97(4):38. [Omelchuk D.E., Kras-nov D.V., Petrenko T.I., Bolshakova I.A. Immediate results of lung resections in patients with fibrous-cavernous tuberculosis. Tuberculosis and lung diseases. 2019;97(4):38. (In Russ.)].
  4. Грищенко Н.Г., Краснов Д.В., Алексеева Т.В. и др. Анализ хирургической активности по поводу туберкулеза легких в Сибирском и Дальневосточном федеральных округах. Туберкулез и болезни легких. 2017:95(8):41–8. [Grishchenko N.G., Krasnov D.V., Aleksee-va T.V., et al. Analysis of surgical activity for pulmonary tuberculosis in the Siberian and Far Eastern Federal districts. Tuberculosis and lung diseases. 2017:95(8):41–8. (In Russ.)].
  5. Отс О.Н., Агкацев Т.В., Перельман М.И. Хирургическое лечение туберкулеза легких при устойчивости микобактерий к химиопрепаратам. Проблемы туберкулеза. 2009;2:42–9. [Ots O.N., Agkatsev T.V., Perelman M.I. Surgical treatment of pulmonary tuberculosis with mycobacterium resistance to chemotherapy drugs. Tuberculosis problems. 2009;2:42–9. (In Russ.)].
  6. Рогожкин П.В., Колсанов А.В., Бородулина Е.А. Хирургическое лечение больных туберкулезом легких в 21 в. Хирургия. Журнал им. Н.И. Пирогова. 2020;(6);104–8. [Rogozhkin P.V., Kolsanov A.V., Borodulina E.A. Surgical treatment of patients with pulmonary tuberculosis in the 21st century. Surgery. The magazine named after N.I. Pirogov. 2020;(6):104–8. (In Russ.)].
  7. Национальные клинические рекомендации по применению хирургических методов в лечении туберкулеза легких. Национальная ассоциация фтизиатров. Ассоциация торакальных хирургов России. Москва, 2013. [National clinical guidelines for the use of surgical methods in the treatment of pulmonary tuberculosis. National Association of Phthisiologists. Association of Thoracic Surgeons of Russia. Moscow, 2013. (In Russ.)].
  8. Giller D.B. Treatment of pulmonary tuberculosis: past and present. Eur J Cardiothorac Surg. 2018;53(5):967–72.
  9. Дробязгин Е.А., Чикинев Ю.В., Судовых И.Е., Аникина М.С. Эндоскопическая клапанная бронхоблокация при патологии легких. Эндоскопическая хирургия. 2016;22(5):24–7. [Drobiazgin E.A., Chikinev Yu.V., Sudovykh I.E., Anikina M.S. Endoscopic valvular bronchoblocation in lung pathology. Endoscopic surgery. 2016;22(5):24–7. (In Russ.)].
  10. Klotz L.V., Gesierich W., Schott-Hildebrand S., et al Endobronchial closure of bronchopleural fistula using Amplatzer device. Thorac Dis. 2015;7(8):1478–82.

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2. Fig. 1. External appearance of the valve bronchial blocker (a) and endoscopic picture after ECB of the right upper lobe bronchus (b)

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3. Fig. 2. MSCT of the chest (axial sections) before performing ECB of the right lower lobe bronchus (a) and on the 7th day of the postoperative period (b). Arrows indicate cavities in the right lung

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