Safonov V. Efficiency of using of the videothoracoscopy operations in a complex diagnostics and treatment of lungs, pleuras and mediastinum diseases.

The dissertation is devoted to a problem of increase of efficiency of diagnostics and treatment of patients with lungs, pleuras and mediastinum diseases. Work is based on results of comparison of use of the videothoracoscopy operations at these diseases with optical thoracoscopy in patients with a exudative pleurisies, diagnostic thoracotomy in patients with a disseminated lung diseases, tumor-like diseases and lymphoid proliferation of a mediastinum. Efficiency of different methods of diagnostics is found out and advantages and lacks of each of them are shown. Clinically and pharmacoeconomically proved, that use of the videothoracoscopy operations for diagnostics and treatment of patients with a exudative pleurisies, a disseminated lung diseases, tumor-like diseases and lymphoid proliferation of a mediastinum is an optimum method. The place of the videothoracoscopy in a complex of actions on differential diagnostics of the specified pathology is determined and proved. Use of the videothoracoscopy has allowed to improve quality of etiological diagnosis of lungs, pleuras and mediastinum diseases, to increase opportunities for performance of medical surgical manipulations, to reduce traumatic operative interventions and quantity of postoperative complications, to reduce postoperative rehabilitation and terms of treatment, charges on treatment, to improve cosmetic outcomes of operations.