Thoracoscopic treatment of bullous lung disease in teenage athletes


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

Introduction. Bullous lung disease (BLD) is one of the most common lung diseases in childhood. BLD frequent complication is primary spontaneous pneumothorax. According to some authors, 88–92% of pneumothorax cases occur in BLD patients; therefore, to study this pathology is of a clinical interest.
Material and methods. The article describes a case report of bullous lung disease in a teenage athlete. The article also presents modern data on BLD etiology, pathogenesis and treatment. The established diagnosis was confirmed by laboratory and instrumental findings.
Results. The child had thoracoscopic resection of the lung. Assessment of catamnestic findings shows the radical nature of surgical intervention.
Conclusion. The obtained clinical experience of thoracoscopic lung resection confirms advantages of the applied minimally invasive surgical treatment which are accelerated rehabilitation period and less postoperative complications.

About the authors

I. V. Poddubniy

Federal Scientific and Clinical Center for Children and Adolescents; Evdokimov Moscow State University of Medicine and Dentistry

Email: fake@neicon.ru
ORCID iD: 0000-0002-9077-6990

Moscow, 115409

Moscow, 127473

Russian Federation

V. O. Trunov

Federal Scientific and Clinical Center for Children and Adolescents; Pirogov Russian National Research Medical University

Email: fake@neicon.ru
ORCID iD: 0000-0002-7568-4297

Moscow, 115409

Moscow, 117997

Russian Federation

K. N. Tolstov

Federal Scientific and Clinical Center for Children and Adolescents; Evdokimov Moscow State University of Medicine and Dentistry

Email: fake@neicon.ru
ORCID iD: 0000-0003-2412-414X

Moscow, 115409

Moscow, 127473

Russian Federation

N. V. Aksyonova

Federal Scientific and Clinical Center for Children and Adolescents

Email: fake@neicon.ru

Moscow, 115409

Russian Federation

E. Yu. Bronnikova

Federal Scientific and Clinical Center for Children and Adolescents

Email: fake@neicon.ru

Moscow, 115409

Russian Federation

E. V. Fedorova

Federal Scientific and Clinical Center for Children and Adolescents; Evdokimov Moscow State University of Medicine and Dentistry

Email: fake@neicon.ru
ORCID iD: 0000-0002-5824-4732

Moscow, 115409

Moscow, 127473

Russian Federation

A. O. Mager

Evdokimov Moscow State University of Medicine and Dentistry

Author for correspondence.
Email: mageral@yandex.ru
ORCID iD: 0000-0002-2498-0184

Alena О. Mager, postgraduate student, department of pediatric surgery 

Moscow, 127473

Russian Federation

A. S. Malashenko

Federal Scientific and Clinical Center for Children and Adolescents

Email: fake@neicon.ru
ORCID iD: 0000-0001-8167-5939

Moscow, 115409

Russian Federation

M. M. Hanov

Federal Scientific and Clinical Center for Children and Adolescents

Email: fake@neicon.ru
ORCID iD: 0000-0003-3354-5018

Moscow, 115409

Russian Federation

References

  1. Light R.W. Pleural diseases. 3rd ed. Baltimore: Williams and Wilkins; 1995.
  2. Бродская О.Н., Поливанов Г.Э. Буллезная эмфизема и буллезная болезнь лёгких. Практическая пульмонология. 2019; 1: 15–21. Brodskaya O.N., Polivanov G.E. Bullous emphysema and bullous lung disease. Practicheskaya pulmonologiya. 2019; 1: 15–21. (In Russian)
  3. Ng G.Y.H., Nah S.A., Teoh O.H., Ong L.Y. Primary spontaneous pneumothorax in children: factors predicting recurrence and contralateral occurrence. Pediatr Surg Int. 2020 Mar; 36(3): 383–9.
  4. Metachronous recurrent pediatric primary spontaneous pneumothorax: A case presentation and literature review. Int J Surg Case Rep. 2020; 76: 139–43. https://doi.org/10.1016/j.ijscr.2020.09.141
  5. Civelek Z., Dalgıç N., Tanık C., Ertürk Ş.M., Akın M., Kafadar İ. Congenital cystic adenomatoid malformation diagnosed during adolescence. Med Bull Sisli Etfal Hosp. 2017; 51: 247–51.
  6. Румянцева Г.Н., Буровникова А.А., Бревдо Ю.Ф. и соавт. Диагностика и лечение спонтанного пневмоторакса у детей, вызванного буллезной болезнью лёгких. Детская хирургия. 2019; 23(1s3): 55. Rumyantseva G.N., Burovnikova A.A., Brevdo Yu.F. Diagnosis and treatment of spontaneous pneumothorax in children caused by bullous lung disease. Detskaya khirurgiya (Russian Journal of Pediatric Surgery) 2019; 23(1s3): 55. (In Russian)
  7. Разумовский А.Ю., Алхасов А.Б., Митупов З.Б., Степаненко Н.С., Задвернюк А.С. Выбор метода лечения у детей буллезной болезни лёгких, осложнённой спонтанным пневмотораксом. Московский хирургический журнал. 2018; 3(61): 156. Razumovsky A.Yu., Alkhasov A.B., Mitupov Z.B., Stepanenko N.S., Zadvernyuk A.S., Petrov A.V. The choice of treatment method in children of bullous lung disease complicated by spontaneous pneumothorax. Moscovskiy Khirurgicheskiy Zhurnal. 2018; (3): 156. (In Russian)
  8. Zhang Z., Du L., Feng H., Liang C., Liu D. Pleural abrasion should not routinely preferred in treatment of primary spontaneous pneumothorax. J Thorac Dis. 2017; 9: 1119–25.
  9. Sahn S.A., Heffner J.E. Spontaneous pneumothorax. N Engl J Med 2000; 342: 868–74.
  10. Dotson K., Timm N., Gittelman M. Is spontaneous pneumothorax really a pediatric problem? A national perspective. Pediatr Emerg Care. 2012; 28: 340–4.
  11. Henry M., Arnold T., Harvey J. Pleural Diseases Group, Standards of Care Committee, British Thoracic Society. BTS guidelines for the management of spontaneous pneumothorax. Thorax. 2003; 58(2): 39–52.
  12. Baumann M.H., Strange C., Heffner J.E., Light R., Kirby T.J., Klein J., et al. AACP Pneumothorax Consensus Group. Management of spontaneous pneumothorax: an American College of Chest Physicians Delphi consensus statement. Chest. 2001; 119: 590–602.
  13. Tschopp J.M., Bintcliffe O., Astoul P., Canalis E., Driesen P., Janssen J., et al. ERS task force statement: diagnosis and treatment of primary spontaneous pneumothorax. Eur Respir J. 2015; 46: 321– 35.
  14. Robinson P.D., Cooper P., Ranganathan S.C. Evidence-based management of paediatric primary spontaneous pneumothorax. Paediatr Respir Rev. 2009; 10: 110–7.
  15. Некрасова Е.Г., Мликова Т.В., Бабин И.Г. Буллезная болезнь лёгких у детей, этапное лечение. Российский вестник детской хирургии, анестезиологии и реаниматологии. 2021; 11(S): 98. Nekrasova E.G., Mlikova T.V., Babin I.G. Bullous Lung Disease In Children, Stage-By-Stage Treatment. Russiyskiy Vestnik Detskoy Khirurgii, Anesthesiologii i Reanimatologii. 2021; 11(S): 98. (In Russian)
  16. Разумовский А.Ю., Аллаберганов К.А., Алхасов М.Б. и соавт. Видеоторакоскопические операции при буллезной болезни лёгких у детей. Российский педиатрический журнал. 2007; (6): 61–2. Razumovsky A.Yu., Allaberganov K.A., Alkhasov M.B. Videothoracoscopic operations for bullous lung disease in children. Russiyskiy Pediatricheskiy Zhurnal. 2007; 6: 61–2. (In Russian)
  17. Demir M., Akın M., Kaba M., Filiz Ş., Sever N., Karadağ Ç.A., Dokucu A.İ. Thoracoscopic Resection in the Treatment of Spontaneous Pneumothorax. Sisli Etfal Hastan Tip Bul. 2020 Mar 25; 54(1): 94–7. https://doi.org/10.14744/SEMB.2018.88310
  18. Bialas R.C., Weiner T.M., Phillips J.D. Video-assisted thoracic surgery for primary spontaneous pneumothorax in children: is there an optimal technique? J Pediatr Surg. 2008; 43: 2151–5.
  19. Ciriaco P., Muriana P., Bandiera A., Carretta A., Melloni G., Negri G., et al. Video-assisted thoracoscopic treatment of primary spontaneous pneumothorax in older children and adolescents. Pediatr Pulmonol. 2016; 51: 713–6.
  20. Rokicki W., Rokicki M., Wojtacha J., Filipowski M., Dżejlili A., Czyżewski D. Is it possible to standardize the treatment of primary spontaneous pneumothorax? Part 2: surgical methods of treatment. Kardiochir Torakochirurgia Pol. 2016; 13: 328–33.
  21. Дибиров М.Д., Рабиджанов М. Роль видеоторакоскопии в выборе метода лечения спонтанного пневмоторакса при буллезной болезни. Эндоскопическая хирургия. 2007; 13(4): 16. Dibirov M.D., Rabidzhanov M. The role of videothoracoscopy in the choice of a method of treatment of spontaneous pneumothorax in bullous disease. Endoscopiheskaya khirurgiya. 2007; 13(4): 16. (In Russian)
  22. Купцов Д.А. Буллезная болезнь лёгких у детей. Вестник Уральского государственного медицинского университета. 2018; 1: 31–2. Kuptsov D.A. Bullous lung disease in children. Vestnik Uralskogo Gosudarstvennogo Medicinskogo Universiteta. 2018; 1: 31–2. (In Russian)

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c)

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies