Application of Radiofrequency Ablation While Performance of Videothoracoscopic Operations for Pulmonary and Pleural Tumors
Severgin, V.E.; Shipulin, P.P.; Prokhoda, S.A.; Agrakhari, A.; Tronina, E.Y.
Klinichna Khirurhiia 11: 33-35
2016
ISSN/ISBN: 0023-2130 PMID: 30265502 Document Number: 689018
In the clinic radio- frequency ablation (RFA) in videothoracoscopic operations (VTHO) was performed in 56 patients. Primary peripheral pulmonary cancer (PC) was revealed in 7 patients, metastatic pulmonary affection - in 12, pleural affection with exudate - in 37. Small- cell PC was diagnosed in 11 patients, a squamous- cell one - in 18, and glandular - in 27. VTHO, using RFA technology, is indicated in primary or metastatic PC without possibility to perform radical intervention due to the process spread, patient's age, presence of severe concurrent diseases; refusal of patient from surgical treatment. Positive result was achieved in 54 patients. Duration of pleural drainage was 3 days at average, the patient stationary stay - 4 days. Insufficient experience of application of VTHO with RFA do not permit to estimate late follow- up results objectively. Yet, 25 patients, in whom metastatic pleurisy was revealed, have survived more than 9 mo, in peripheral PC one patient died as a result of pulmonary thromboembolism, and the rest of patients have survived from 1 yr to 1.5 yrs.