Детская хирургия. Журнал им. Ю.Ф. Исакова. 2022; 26: 38-41
Торакоскопическое лечение буллезной болезни лёгкого у спортсмена-подростка
https://doi.org/10.55308/1560-9510-2022-26-1-38-41Аннотация
Введение. Буллезная эмфизема лёгких (БЭЛ) – одно из самых часто встречаемых заболеваний лёгких в детском возрасте. Частым осложнением БЭЛ является первичный спонтанный пневмоторакс. Так, по данным некоторых авторов, 88–92% случаев пневмоторакса приходятся на БЭЛ, в связи с чем изучение данной патологии представляет собой клинический интерес.
Материал и методы. В статье описан клинический случай буллезной болезни лёгкого у спортсмена-подростка, представлены современные данные по этиологии, патогенезу, лечению заболевания. Пациенту были проведены лабораторно инструментальные исследования, по результатам которых диагноз был подтверждён.
Результаты. Пациенту проведена торакоскопическая резекция лёгкого, анализ катамнестических данных свидетельствует о радикальности проведённого хирургического лечения.
Заключение. Полученный клинический опыт применения торакоскопической резекции лёгкого, ускорение сроков реабилитации, а также снижение частоты развития послеоперационных осложнений доказывает преимущество малоинвазивной методики оперативного вмешательства.
Список литературы
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16. Разумовский А.Ю., Аллаберганов К.А., Алхасов М.Б. и соавт. Видеоторакоскопические операции при буллезной болезни лёгких у детей. Российский педиатрический журнал. 2007; (6): 61–2. Razumovsky A.Yu., Allaberganov K.A., Alkhasov M.B. Videothoracoscopic operations for bullous lung disease in children. Russiyskiy Pediatricheskiy Zhurnal. 2007; 6: 61–2. (In Russian)
17. Demir M., Akın M., Kaba M., Filiz Ş., Sever N., Karadağ Ç.A., Dokucu A.İ. Thoracoscopic Resection in the Treatment of Spontaneous Pneumothorax. Sisli Etfal Hastan Tip Bul. 2020 Mar 25; 54(1): 94–7. https://doi.org/10.14744/SEMB.2018.88310
18. Bialas R.C., Weiner T.M., Phillips J.D. Video-assisted thoracic surgery for primary spontaneous pneumothorax in children: is there an optimal technique? J Pediatr Surg. 2008; 43: 2151–5.
19. Ciriaco P., Muriana P., Bandiera A., Carretta A., Melloni G., Negri G., et al. Video-assisted thoracoscopic treatment of primary spontaneous pneumothorax in older children and adolescents. Pediatr Pulmonol. 2016; 51: 713–6.
20. Rokicki W., Rokicki M., Wojtacha J., Filipowski M., Dżejlili A., Czyżewski D. Is it possible to standardize the treatment of primary spontaneous pneumothorax? Part 2: surgical methods of treatment. Kardiochir Torakochirurgia Pol. 2016; 13: 328–33.
21. Дибиров М.Д., Рабиджанов М. Роль видеоторакоскопии в выборе метода лечения спонтанного пневмоторакса при буллезной болезни. Эндоскопическая хирургия. 2007; 13(4): 16. Dibirov M.D., Rabidzhanov M. The role of videothoracoscopy in the choice of a method of treatment of spontaneous pneumothorax in bullous disease. Endoscopiheskaya khirurgiya. 2007; 13(4): 16. (In Russian)
22. Купцов Д.А. Буллезная болезнь лёгких у детей. Вестник Уральского государственного медицинского университета. 2018; 1: 31–2. Kuptsov D.A. Bullous lung disease in children. Vestnik Uralskogo Gosudarstvennogo Medicinskogo Universiteta. 2018; 1: 31–2. (In Russian)
Russian Journal of Pediatric Surgery. 2022; 26: 38-41
Thoracoscopic treatment of bullous lung disease in teenage athletes
https://doi.org/10.55308/1560-9510-2022-26-1-38-41Abstract
Introduction. Bullous lung disease (BLD) is one of the most common lung diseases in childhood. BLD frequent complication is primary spontaneous pneumothorax. According to some authors, 88–92% of pneumothorax cases occur in BLD patients; therefore, to study this pathology is of a clinical interest.
Material and methods. The article describes a case report of bullous lung disease in a teenage athlete. The article also presents modern data on BLD etiology, pathogenesis and treatment. The established diagnosis was confirmed by laboratory and instrumental findings.
Results. The child had thoracoscopic resection of the lung. Assessment of catamnestic findings shows the radical nature of surgical intervention.
Conclusion. The obtained clinical experience of thoracoscopic lung resection confirms advantages of the applied minimally invasive surgical treatment which are accelerated rehabilitation period and less postoperative complications.
References
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2. Brodskaya O.N., Polivanov G.E. Bulleznaya emfizema i bulleznaya bolezn' legkikh. Prakticheskaya pul'monologiya. 2019; 1: 15–21. Brodskaya O.N., Polivanov G.E. Bullous emphysema and bullous lung disease. Practicheskaya pulmonologiya. 2019; 1: 15–21. (In Russian)
3. Ng G.Y.H., Nah S.A., Teoh O.H., Ong L.Y. Primary spontaneous pneumothorax in children: factors predicting recurrence and contralateral occurrence. Pediatr Surg Int. 2020 Mar; 36(3): 383–9.
4. Metachronous recurrent pediatric primary spontaneous pneumothorax: A case presentation and literature review. Int J Surg Case Rep. 2020; 76: 139–43. https://doi.org/10.1016/j.ijscr.2020.09.141
5. Civelek Z., Dalgıç N., Tanık C., Ertürk Ş.M., Akın M., Kafadar İ. Congenital cystic adenomatoid malformation diagnosed during adolescence. Med Bull Sisli Etfal Hosp. 2017; 51: 247–51.
6. Rumyantseva G.N., Burovnikova A.A., Brevdo Yu.F. i soavt. Diagnostika i lechenie spontannogo pnevmotoraksa u detei, vyzvannogo bulleznoi bolezn'yu legkikh. Detskaya khirurgiya. 2019; 23(1s3): 55. Rumyantseva G.N., Burovnikova A.A., Brevdo Yu.F. Diagnosis and treatment of spontaneous pneumothorax in children caused by bullous lung disease. Detskaya khirurgiya (Russian Journal of Pediatric Surgery) 2019; 23(1s3): 55. (In Russian)
7. Razumovskii A.Yu., Alkhasov A.B., Mitupov Z.B., Stepanenko N.S., Zadvernyuk A.S. Vybor metoda lecheniya u detei bulleznoi bolezni legkikh, oslozhnennoi spontannym pnevmotoraksom. Moskovskii khirurgicheskii zhurnal. 2018; 3(61): 156. Razumovsky A.Yu., Alkhasov A.B., Mitupov Z.B., Stepanenko N.S., Zadvernyuk A.S., Petrov A.V. The choice of treatment method in children of bullous lung disease complicated by spontaneous pneumothorax. Moscovskiy Khirurgicheskiy Zhurnal. 2018; (3): 156. (In Russian)
8. Zhang Z., Du L., Feng H., Liang C., Liu D. Pleural abrasion should not routinely preferred in treatment of primary spontaneous pneumothorax. J Thorac Dis. 2017; 9: 1119–25.
9. Sahn S.A., Heffner J.E. Spontaneous pneumothorax. N Engl J Med 2000; 342: 868–74.
10. Dotson K., Timm N., Gittelman M. Is spontaneous pneumothorax really a pediatric problem? A national perspective. Pediatr Emerg Care. 2012; 28: 340–4.
11. Henry M., Arnold T., Harvey J. Pleural Diseases Group, Standards of Care Committee, British Thoracic Society. BTS guidelines for the management of spontaneous pneumothorax. Thorax. 2003; 58(2): 39–52.
12. Baumann M.H., Strange C., Heffner J.E., Light R., Kirby T.J., Klein J., et al. AACP Pneumothorax Consensus Group. Management of spontaneous pneumothorax: an American College of Chest Physicians Delphi consensus statement. Chest. 2001; 119: 590–602.
13. Tschopp J.M., Bintcliffe O., Astoul P., Canalis E., Driesen P., Janssen J., et al. ERS task force statement: diagnosis and treatment of primary spontaneous pneumothorax. Eur Respir J. 2015; 46: 321– 35.
14. Robinson P.D., Cooper P., Ranganathan S.C. Evidence-based management of paediatric primary spontaneous pneumothorax. Paediatr Respir Rev. 2009; 10: 110–7.
15. Nekrasova E.G., Mlikova T.V., Babin I.G. Bulleznaya bolezn' legkikh u detei, etapnoe lechenie. Rossiiskii vestnik detskoi khirurgii, anesteziologii i reanimatologii. 2021; 11(S): 98. Nekrasova E.G., Mlikova T.V., Babin I.G. Bullous Lung Disease In Children, Stage-By-Stage Treatment. Russiyskiy Vestnik Detskoy Khirurgii, Anesthesiologii i Reanimatologii. 2021; 11(S): 98. (In Russian)
16. Razumovskii A.Yu., Allaberganov K.A., Alkhasov M.B. i soavt. Videotorakoskopicheskie operatsii pri bulleznoi bolezni legkikh u detei. Rossiiskii pediatricheskii zhurnal. 2007; (6): 61–2. Razumovsky A.Yu., Allaberganov K.A., Alkhasov M.B. Videothoracoscopic operations for bullous lung disease in children. Russiyskiy Pediatricheskiy Zhurnal. 2007; 6: 61–2. (In Russian)
17. Demir M., Akın M., Kaba M., Filiz Ş., Sever N., Karadağ Ç.A., Dokucu A.İ. Thoracoscopic Resection in the Treatment of Spontaneous Pneumothorax. Sisli Etfal Hastan Tip Bul. 2020 Mar 25; 54(1): 94–7. https://doi.org/10.14744/SEMB.2018.88310
18. Bialas R.C., Weiner T.M., Phillips J.D. Video-assisted thoracic surgery for primary spontaneous pneumothorax in children: is there an optimal technique? J Pediatr Surg. 2008; 43: 2151–5.
19. Ciriaco P., Muriana P., Bandiera A., Carretta A., Melloni G., Negri G., et al. Video-assisted thoracoscopic treatment of primary spontaneous pneumothorax in older children and adolescents. Pediatr Pulmonol. 2016; 51: 713–6.
20. Rokicki W., Rokicki M., Wojtacha J., Filipowski M., Dżejlili A., Czyżewski D. Is it possible to standardize the treatment of primary spontaneous pneumothorax? Part 2: surgical methods of treatment. Kardiochir Torakochirurgia Pol. 2016; 13: 328–33.
21. Dibirov M.D., Rabidzhanov M. Rol' videotorakoskopii v vybore metoda lecheniya spontannogo pnevmotoraksa pri bulleznoi bolezni. Endoskopicheskaya khirurgiya. 2007; 13(4): 16. Dibirov M.D., Rabidzhanov M. The role of videothoracoscopy in the choice of a method of treatment of spontaneous pneumothorax in bullous disease. Endoscopiheskaya khirurgiya. 2007; 13(4): 16. (In Russian)
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