EVALUATION OF THE LEVEL OF QUALITY OF LIFE IN PATIENTS WITH BULLOUS EMPHYSEMA OF THE LUNGS AFTER SURGICAL TREATMENT

Author: Drobyazgin E.A.¹, Chikinev Yu.V.², Khusainov V.F.³, Tshcherbina K.I.⁴, Polyakevich A.S.⁵

Abstract

The purpose of the study was to assess the level of quality of life in the postoperative period in patients with bullous emphysema of the lungs operated on by «open» access and using minimally invasive technologies using the SF-36 questionnaire. Material and methods. The results of a survey of 50 patients with bullous emphysema were analyzed. The patients were separated into 2 groups depending on the method of access. The first group (main) consisted of the patients underwent video-assisted thoracoscopy, resection of a bulla-modified lung tissue, subtotal parietal pleurectomy. The second group (comparison) consisted of the patients underwent thoracotomy, resection of a bulla-modified lung tissue, subtotal parietal pleurectomy. The survey was conducted using the SF-36 quality of life questionnaire for 1, 3, 6 and 12 months. Results and discussion. The main indicators of the quality of life of respondents in terms of 1, 3 and 6 months after the intervention were statistically significantly higher in the group of patients who underwent thoracoscopy. Only a year after the operation, the main indicators of the questionnaire were not statistically significantly different between groups of patients, but the indicators of vital activity, social functioning, mental health and psychological component of health remained significantly higher in patients of group 1. The results indicate the need for long-term postoperative rehabilitation of patients with bullous emphysema lungs, operated in an «open» way. Follow-up survey with the specific questionnaires is required for more detailed assessment of the level of quality of life in patients with thoracic organs pathology.

Key words

bullous emphysema, spontaneous pneumothorax, quality of life, thoracoscopy

References

references

Afendulov S.A., Moshchin S.A. Surgical tactics of treatment of patients with the spontaneous pheumothorax. Vestnik eksperimental'noy i klinicheskoy khirurgii = Journal of Experimental and Clinical Surgery. 2009; 2 (2): 101-107. [In Russian].

Aghajanzadeh M., Asgary M.R., Delshad M.S.E, Khotbehsora M.H. Data on the epidemiology, diagnosis, and treatment of patients with pneumothorax. Data Brief. 2018; 20: 1053-1056. doi: 10.1016/j.dib.2018.08.063

Aljehani Y.M., Almajid F.M., Niaz R.C., Elghoneimy Y.F. Management of primary spontaneous pneumothorax: A single-center experience. Saudi J. Med. Sci. 2018; 6 (2): 100-103. doi: 10.4103/sjmms.sjmms_163_16

Bendixen M., Jørgensen O.D., Kronborg C., Andersen C., Licht P.B. Postoperative pain and quality of life after lobectomy via video-assisted thoracoscopic surgery or anterolateral thoracotomy for early stage lung cancer: a randomised controlled trial. Lancet Oncol. 2016; 17 (6): 836-844. doi: 10.1016/S1470-2045(16)00173-X

Benyan A.S., Korymasov E.A., Pushkin S.Yu. Thoracoscopic surgery of bullous emphysema: possibilities and perspective. Tol'yattinskiy meditsinskiy konsilium = Togliatti medical council. 2012; (3-4): 7-13. [In Russian].

Bisenkov L.N., Gladyshev D.V., Lishenko V.V., Churina A.D. Thoracoscopy in the treatment of bullous lung disease complicated by pneumothorax. Pul'monologiya = Pulmonology. 2005; (1): 29-33. [In Russian].

Chikinev Yu.V., Drobyazgin E.A., Litvintsev A.Yu., Shcherbina K.I. Comparative characteristics of thoracoscopic surgery for spontaneous pneumothorax. Sibirskiy nauchnyy medtsinskiy zhurnal = Siberian Scientific Medical Journal. 2018; 38 (2): 52-55 [In Russian]. doi: 10.15372/SSMJ20180208

Chikinev Yu.V., Drobyazgin E.A., Piontkovskaya K.A., Pustovetova M.G., Shcherbina K.I. Comparative assessment of thoracoscopy and destruction of pulmonary bullas combined with pleurodesis and pleurectomy. Vestnik khirurgii = Journal of surgery. 2016; 175 (2): 17-20. [In Russian].

Desyaterik V.I., Ezemenskiy M.A., Mikhno S.P., Miroshnichenko V.N. The method of pleurodesis in treatment of spontaneous pneumothorax. Vestnik neotlozhnoy i vosstanovitel'noy meditsiny = Bulletin of emergency and restorative medicine. 2012; 13 (2): 260-262. [In Russian].

Licht P.B., Andersen C., Dan Jørgensen O., Bendixen M. Quality of life after video-assisted surgery for lung cancer - Author's reply. Lancet Oncol. 2016; 17 (8): 318-319. doi: 10.1016/S1470-2045(16)30306-0

Ocakcioglu I., Kupeli M. Surgical treatment of spontaneous pneumothorax: pleural abrasion or pleurectomy? Surg. Laparosc. Endosc. Percutan. Tech. 2019; 29 (1): 58-63. doi: 10.1097/SLE.0000000000000595

Pompili C., Velikova G., White J., Callister M., Robson J., Dixon S., Franks K., Brunelli A. Poor preoperative patient-reported quality of life is associated with complications following pulmonary lobectomy for lung cancer. Eur. J. Cardiothorac. Surg. 2017; 51 (3): 526-531. doi: 10.1093/ejcts/ezw363

Pustovetova M.G., Chikinev Yu.V., Piontkovskaya K.A., Drobyazgin E.A. Molecular-cellular mechanisms of pulmonary fibrosis and spontaneous pneumothorax. Byulleten' Sibirskogo otdeleniya Rossiyskoy akademii meditsinskikh nauk = Bulletin of Siberian Branch of Russian Academy of Medical Sciences. 2014; 34 (5): 17-21. [In Russian].

Rizk N.P., Ghanie A., Hsu M., Bains M.S., Downey R.J., Sarkaria I.S., Finley D.J., Adusumilli P.S., Huang J., Sima C.S., Burkhalter J.E., Park B.J., Rusch V.W. A prospective trial comparing pain and quality of life measures after anatomic lung resection using thoracoscopy or thoracotomy. Ann. Thorac. Surg. 2014; 98 (4): 1160-1166. doi: 10.1016/j.athoracsur.2014.05.028

Sharma S. Thoracoscopic blebectomy and pleurodesis for primary spontaneous pneumothorax. Indian J. Pediatr. 2018; 85 (4): 251-252. doi: 10.1007/s12098-018-2641-0

Veronesi G., Novellis P., Park B. Quality of life after video-assisted surgery for lung cancer. Lancet Oncol. 2016; 17 (8): 316-317. doi: 10.1016/S1470-2045(16)30310-2

Xu G.W., Xiong R., Wu H.R., Li C.W., Xu S.B., Xie M.R. A prospective comparative study examing the impact of uniportal and three portal video-assisted thoracic surgery on short-term quality of life in lung cancer. Zhonghua Wai Ke Za Zhi = Chinese Journal of Surgery. 2018; 56 (6): 452-457. [In Chinese]. doi: 10.3760/cma.j.issn.0529-5815.2018.06.013

Yasnogorodskiy O.O., Kachikin A.S., Vinarskaya V.A., Kerner D.V. About spontaneous pneumothorax. Russkiy meditsinskiy zhurnal = Russian medical journal. 2014; 22 (30): 2122-2123. [In Russian].

Zeng J., Liu J. A study on quality of life after thoracoscopic assistant lobectomy for lung cancer. Zhongguo Fei Ai Za Zhi = Chinese Journal of Lung Cancer. 2014; 17 (3): 209-214. [In Chinese]. doi: 10.3779/j.issn.1009-3419.2014.03.05

Zolotaryov D.V., Khrupkin V.I., Degtyaryova E.V. Surgical treatment of complicated forms of spontaneous pneumothorax. Meditsinskiy alfavit = Medical alphabet. 2015; 2 (9): 40-41. [In Russian].

Мikheev A.V. The etiology of primary spontaneous pneumothorax (literature review) Zemskiy vrach = Zemsky doctor. 2015. (4): 14-19. [In Russian].

About Authors (Correspondence):

Drobyazgin E.A., e-mail: evgenyidrob@inbox.ru

Full Text

snmzh_1-2020_drobyazgin_i_dr.pdf

Received: 03/03/2020

Accepted: 03/03/2020