[Surgical treatment of complicated bullous pulmonary emphysema]

The paper provides the results of treating 118 patients aged 16 to 78 years who had complicate bullous emphysema. The most frequent complication was spontaneous pneumothorax (n = 107). Chronic respiratory failure was observed in 8 patients with bullous formations occupying 1/3-2/3 of the hemithorax volume. Two patients had recurrent hemoptysis. Eighty patients with spontaneous pneumothorax underwent thoracic operations: endoscopic bullectomy, endoscopic pleurodesis with MK-7 and MK-8 medical glues, endoscopic electro- and laser coagulation of pulmonary bullae through infrared gallium arsenide and argon lasers. Thoracotomy with marginal resection of the lung, bullectomy, parietal pleurectomy was performed in 29 (25%) patients. The paper shows indications and contraindications for endoscopic and surgical operations, methods for applying IGA laser for marginal resection of the lung, bullectomy, pleurectomy, endoscopic coagulation of the bullae, complications of endoscopic and surgical treatments.