Open AccessIntrapleural port systems as a technology for the control of recurrent metastatic exudative pleurisy. first experience
Author(s) -
Е. Д. Печерица,
А. А. Лукин,
Я А Гнатюк,
А. О. Галкин
Publication year - 2021
Publication title -
uralʹskij medicinskij žurnal
Language(s) - English
Resource type - Journals
eISSN - 2949-4389
pISSN - 2071-5943
DOI - 10.52420/2071-5943-2021-20-2-54-58
Subject(s) - medicine , pneumothorax , pleurisy , surgery , pleurodesis , pleural cavity , port (circuit theory) , stage (stratigraphy) , anesthesia , pleural effusion , electrical engineering , biology , engineering , paleontology
. To evaluate the immediate results of the first experience of implantation of an interpleural port system in comparison with traditional methods of pleural fluid evacuation and improve the quality of life of patients with recurrent metastatic pleurisy. Materials and methods. A prospective study of 14 cases with recurrence of metastatic pleurisy in 6 months was carried out. 2020 year. The patients were divided into group A (traditional methods of pleurisy evacuation) and group B (implantation of an interpleural port system). The manipulations were performed under local anesthesia. Results . Pneumothorax was diagnosed in 6 patients (43%) after thoracocentesis and implantation of the port system. In group B, 3 people (21%) had a small pneumothorax, the air was evacuated with a Huber needle. In group A, 3 people (21%) required drainage of the pleural cavity, which delayed hospitalization. In 11 people (78%), of which 7 people (50%) from group B, a clinical decrease in respiratory failure up to stage II. 7 patients (50%) from group B noted the absence of pain and discomfort after surgery. 14 (100%) patients were diagnosed with a recurrence of metastatic pleurisy on day 21, which required hospitalization of patients from group A to a hospital for drainage of the pleural cavity. In group B patients, fluid evacuation was performed on an outpatient basis, thereby not lengthening the period of systemic anticancer therapy. 4 patients (28%) managed to continue antitumor therapy on time. Infectious complications in 3 patients (21%) from group A, where air leakage persisted against the background of tumor disintegration. Conclusion. The intrapleural port system improves the quality of life, eliminating complications from repeated punctures of the pleural cavity. Simple installation under local anesthesia with the possibility of discharge from the hospital on the 2nd day. Evacuation of pleurisy through the port system by nurses on an outpatient basis. Possibility of intrapleural antitumor therapy and pleural obliteration through the port system.