Articles Vol. 65 No. CĐ 3 - Bệnh viện Phổi Trung ương 15/05/2024

18. THORACOSCOPIC INTERVENTION IN COMBINED TREATMENT OF TUBERCULOUS PLEURITIS SEQUELAE AT NATIONAL LUNG HOSPITAL IN 3 YEARS (1/2020 - 01/2023)

Vu Do1,2, Nguyen Duc Tuyen1,2, Vu Quy Duong1,2
1 National Lung Hospital
2 Bệnh viện Phổi Trung ương
Corresponding author: Drvudo@yahoo.com
DOI: 10.52163/yhc.v65iCD3.1114
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Keywords
Complication, tuberculosis, pleural effusion, thoracoscopy.
Abstract

Introduction: Combining thoracoscopic endoscopy in the treatment of selected complications of tuberculous pleural effusion yields favorable outcomes.

Objective: To describe some clinical characteristics, chest X-ray findings, and early outcomes of combined thoracoscopic endoscopy in the treatment of complications of tuberculous pleural effusion.

Method: A study of 138 patients aged >15 years with tuberculous pleural effusion complications treated with combined thoracoscopic endoscopy at the Central Lung Hospital from January 2020 to January 2023.

Results: In the study group: Male 91.3%, Female 8.7%. The most common indication was pleural effusion loculated with thickened and adherent pleura in 114 patients (82.6%). Of these, 99 patients (71.7%) underwent closed thoracoscopic surgery, while 39 patients (28.3%) underwent small thoracotomy (VATS) for support. Complications occurred in 6 patients (4.4%), with no deaths after endoscopic intervention. The average postoperative drainage removal time was 5.4 ± 3.5 days. Surgical outcomes showed that 128 patients (92.8%) had complete resolution of effusion and full lung expansion, while 10 patients (7.2%) had resolved effusion with mild pleural thickening.

Conclusion: Combined thoracoscopic endoscopy in the treatment of complications of tuberculous pleural effusion is a relatively safe method, with a low complication rate and favorable outcomes.

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