grekovВестник хирургии имени И.И. ГрековаGrekov's Bulletin of Surgery0042-4625Federal State Budgetary Educational Institution of Higher Education «Academician I.P. Pavlov First St. Petersburg State Medical University» of the Ministry of Healthcare of the Russion Federation, FSBEI HE I.P.Pavlov SPbSMU MOH Russia10.24884/0042-4625-2014-173-1-018-021grekov-470Research ArticleВОПРОСЫ ОБЩЕЙ НЕОТЛОЖНОЙ ХИРУРГИИPROBLEMS OF GENERAL AND SPECIAL SURGERYОСТРЫЙ БОЛЕВОЙ СИНДРОМ И УРОВЕНЬ САТУРАЦИИ ПЕРИФЕРИЧЕСКОЙ КРОВИ ПОСЛЕ РАЗЛИЧНЫХ ТОРАКАЛЬНЫХ ХИРУРГИЧЕСКИХ ДОСТУПОВACUTE PAIN SYNDROME AND LEVELS OF PERIPHERAL BLOOD SATURATION AFTER VARIOUS THORACIC SURGICAL APPROACHESПлаксинСергей АлександровичPlaksinS. A.splaksin@mail.ruПетровМаксим ЕвгеньевичPetrovM. E.noemail@neicon.ruКотельниковаЛюдмила ПавловнаKotelnikovaL. P.noemail@neicon.ru614990, г. Пермь, ул. Петропавловская, 26РоссияState Vagner Medical AcademyRussian Federation20141501201817311821Copyright © Плаксин С.А., Петров М.Е., Котельникова Л.П., 20182018Плаксин С.А., Петров М.Е., Котельникова Л.П.Plaksin S.A., Petrov M.E., Kotelnikova L.P.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.vestnik-grekova.ru/jour/article/view/470

The traumatic effect of surgical approaches was determined by the intensity and duration of pain syndrome and by the degree of lung ventilation disturbances after thoracic surgery. An acute pain syndrome was considered by visual analog pain scale and a blood saturation level for the first 5 days after operation. There were 3 groups, each group consisted of 31 patients. All patients were after thoracotomies, thoracoscopies, rethoracoscopies. Maximal intensity of pain appeared to be after thoracotomies and its degree has been reducing since the first till fifth day (from 8,1±1,7 to 4,2±0,9 points). The pain syndrome was reliably less after thoracoscopy (from 5,9±1,6 to 3,5±1,4 points). Minimal pain was noted after revideothoracoscopies with the dynamics from 4,0±2,4 to 2,7±1,2 points. The rate of blood saturation was more reduced after thoracotomy for the first two days till 92,9±4,6% and the saturation level became equal on the third day in all groups. Obtained data objectively confirmed the considerably less injury in the case of endoscopic thoracic approaches in comparison with open intervention.

postoperative painsaturationthoracotomyrethoracoscopyпослеоперационные болисатурацияторакотомияреторакоскопияReferencesАфендулов С. А., Мощин С. А., Ратнов В. Ю. и др. Эффективность видеоторакоскопии в лечении больных со спонтанным пневмотораксом // Эндоскоп. хир. 2009. № 1. С. 65–66.Афендулов С. А., Мощин С. А., Ратнов В. Ю. и др. Эффективность видеоторакоскопии в лечении больных со спонтанным пневмотораксом // Эндоскоп. хир. 2009. № 1. С. 65–66.Додонкин С. В., Мазур В. С., Аллавердян А.С и др. Результаты применения минидоступов при видеоассистированных операциях по поводу неспецифического спонтанного пневмоторакса // Эндоскоп. хир. 2006. № 2. С. 38–39.Додонкин С. В., Мазур В. С., Аллавердян А.С и др. Результаты применения минидоступов при видеоассистированных операциях по поводу неспецифического спонтанного пневмоторакса // Эндоскоп. хир. 2006. № 2. С. 38–39.Ayed A. K., Al-Din H. J. The Results of thoracoscopic surgery for primary spontaneous pneumothorax // Chest. 2000. Vol. 118, № 1. P. 235–238.Ayed A. K., Al-Din H. J. The Results of thoracoscopic surgery for primary spontaneous pneumothorax // Chest. 2000. Vol. 118, № 1. P. 235–238.Breivik H., Borchgrevink P. C., Allen S. M. et al. Assessment of pain // Brit. J. Anaesthes. 2008. Vol. 101, № 1. P. 17–24.Breivik H., Borchgrevink P. C., Allen S. M. et al. Assessment of pain // Brit. J. Anaesthes. 2008. Vol. 101, № 1. P. 17–24.Furrer M., Rechsteiner R., Eigenmann V. et al. Thoracotomy and thoracoscopy: postoperative pulmonary function, pain and chest wall complaints // Eur. J. Cardio-thoracic Surg. 1997. Vol. 12. P. 82–87.Furrer M., Rechsteiner R., Eigenmann V. et al. Thoracotomy and thoracoscopy: postoperative pulmonary function, pain and chest wall complaints // Eur. J. Cardio-thoracic Surg. 1997. Vol. 12. P. 82–87.Hazelrigg R. S., Cetindag I. B., Fullerton J. Acute and chronic pain syndromes after thoracic surgery // Surg. Clin. North Am. 2002. Vol. 82, № 4. P. 849–865.Hazelrigg R. S., Cetindag I. B., Fullerton J. Acute and chronic pain syndromes after thoracic surgery // Surg. Clin. North Am. 2002. Vol. 82, № 4. P. 849–865.Hyland M. J., Ashrafi A. S., Crepeau A., Mehran R. J. Is video-assisted thoracoscopic surgery superior to limited axillary thoracotomy in the management of spontaneous pneumothorax? // Can. Respir. J. 2001. Vol. 8, № 5. P. 339–343.Hyland M. J., Ashrafi A. S., Crepeau A., Mehran R. J. Is video-assisted thoracoscopic surgery superior to limited axillary thoracotomy in the management of spontaneous pneumothorax? // Can. Respir. J. 2001. Vol. 8, № 5. P. 339–343.Johnson C. Visual analog scale versus numeric pain scale: what is the difference? // J. Chiropr. Med. 2005. Vol. 4. P. 43–44.Johnson C. Visual analog scale versus numeric pain scale: what is the difference? // J. Chiropr. Med. 2005. Vol. 4. P. 43–44.Landreneau R. J.,Hazelrigg S. R., Mack M. J. et al. Postoperative pain-related morbidity: Video-assisted thoracic surgery versus thoracotomy // Ann. Thorac. Surg. 1993. Vol. 56, № 6. P. 1285–1289.Landreneau R. J.,Hazelrigg S. R., Mack M. J. et al. Postoperative pain-related morbidity: Video-assisted thoracic surgery versus thoracotomy // Ann. Thorac. Surg. 1993. Vol. 56, № 6. P. 1285–1289.Li W. L., Lee L. M., Lee T. W. et al. The impact of thoracic surgical access on early shoulder function: video-assisted thoracic surgery versus posterolateral thoracotomy // Eur. J. Cardiothorac. Surg. 2003. Vol. 23, № 3. P. 390–396.Li W. L., Lee L. M., Lee T. W. et al. The impact of thoracic surgical access on early shoulder function: video-assisted thoracic surgery versus posterolateral thoracotomy // Eur. J. Cardiothorac. Surg. 2003. Vol. 23, № 3. P. 390–396.Nasr A., Bass J. Thoracoscopic vs open resection of congenital lung lesions: A meta-analysis // J. Pediatr. Surg. 2012. Vol. 47, № 5. P. 857–861.Nasr A., Bass J. Thoracoscopic vs open resection of congenital lung lesions: A meta-analysis // J. Pediatr. Surg. 2012. Vol. 47, № 5. P. 857–861.Tajiri M., Maehara T., Nakayama H. et al. Decreased invasiveness via two methods of thoracoscopic lobectomy for lung cancer, compared with open thoracotomy // Respirology. 2007. Vol. 12. P. 207–211.Tajiri M., Maehara T., Nakayama H. et al. Decreased invasiveness via two methods of thoracoscopic lobectomy for lung cancer, compared with open thoracotomy // Respirology. 2007. Vol. 12. P. 207–211.Tashjian R. Z., Deloach J., Porucznik C. A., Powell A. P. Minimal clinically important differences (MCID) and patient acceptable symptomatic state (PASS) for visual analog scales (VAS) measuring pain in patients treated for rotator cuff disease // J. Shoulder Elbow Surg. 2009. Vol. 18. P. 927–932.Tashjian R. Z., Deloach J., Porucznik C. A., Powell A. P. Minimal clinically important differences (MCID) and patient acceptable symptomatic state (PASS) for visual analog scales (VAS) measuring pain in patients treated for rotator cuff disease // J. Shoulder Elbow Surg. 2009. Vol. 18. P. 927–932.Whitson B. A., Andrade R. S., Boettcher A. et al. Video-assisted thoracoscopic surgery is more favorable than thoracotomy for resection of clinical stage I non-small cell lung cancer // Ann. Thorac. Surg. 2007. Vol. 83, № 6. P. 1965–1970.Whitson B. A., Andrade R. S., Boettcher A. et al. Video-assisted thoracoscopic surgery is more favorable than thoracotomy for resection of clinical stage I non-small cell lung cancer // Ann. Thorac. Surg. 2007. Vol. 83, № 6. P. 1965–1970.

The authors declare that there are no conflicts of interest present.