Аңдатпа
Over the past decade, the importance of treating spontaneous pneumothorax (SP) with video-assisted thoracoscopic surgery (VATS) has been growing. In this study, we have presented the results of the use of video-thoracoscopy based on our treatment experience. The рurpose of this study: to analyze the results of thoracoscopic treatment of spontaneous pneumothorax. Material and methods: from January 1, 2018 to April 5, 2023, a retrospective clinical and statistical analysis of n=46 patients who underwent VATS surgery was carried out in the Department of Thoracic and Pediatric Surgery of the A.N. Syzganov National Scientific Center of Surgery in Almaty. Results. In this study, cases of SP were more common at the age of 18-25 years – 28.26%, 26-35 – 28.26%, of which the proportion of men prevailed - 39.12%. A history of smoking was found in 54.39%, the presence of chest injuries – in 13.04%. In patients with n=44 (95.65%), VATS were successfully performed, with SP occurring more often in the upper right lung (n=20/43,47%) and left lung (n=20/43,47%). Only in n=2 patients (4.34%) after VATS surgery a year later, a recurrence of SP was noted. Conclusions. The video-assisted thoracoscopic method is the method of the final effective treatment of spontaneous pneumothorax. The positive results obtained in the study make it possible to increase the frequency of using VATS in clinical practice. However, indications for the use of videothoracoscopy should be determined taking into account the area of local changes in the lungs, the nature and characteristics of concomitant diseases.