EFFECTIVENESS OF EARLY VIDEO-ASSISTED MINI-ACCESS SURGERY IN TREATMENT OF COMPLICATED FORMS OF TUBERCULOUS PLEURISY.

The efficacy and safety of mini-thoracotomy with video tracking in the treatment of complicated forms of tuberculous pleurisy was studied. The study included 78 patients who were treated in the department of extrapulmonary surgery of the Aktobe Regional TB Dispensary in the period from 2016 to 2019. A mini-thoracotomy with video-assistant, and a control (41 patients) group - standard thoracotomy was performed in patients of the main (37 patients) group. Early surgical interventions according to the VATS method in the treatment of complicated forms of tuberculous pleurisy reduced the patient's stay in the ICU by 1.6 times, reduced intraoperative blood loss by 3.3 times, the average duration of surgery 2.5 times, improve the dynamics of the restoration of external respiratory function, reduce the number of postoperative complications 2.1 times. The timing of reexpansion (straightening) of the lung, the elimination of residual cavities and a smaller number of patients with chest deformity indicated a greater efficacy of VATS in comparison with traditional surgical interventions.