The thoracoscopy was used at 150 patients with
penetrating wounds of thorax. Severity of injury according to ISS scale was 9.02+/-1.1 scores, RTS criteria - 7.84+/-0.0 scores, and TRISS - 99.8+/-0.1%.
Lung injuries were diagnosed at 71 (47.3%) patients. Features of various
wounds of lung and methods of closure have been analyzed.
Bleeding, air intake and intrapulmonary
hematoma were the indications for
hermetic closure of
wound canal. Coagulation of lung
wound was performed at 24 (33.8%) patients, closure with endosurgical techniques - 30 (42.2%); the
wounds have not been closured at 8 (11.3%) patients. Conversion to
thoracotomy was necessary at 5 (7%) patients with deep
wounds of lung. The thoracoscopic surgical procedure has been completely performed at 58 (81.7%) patients. The better postoperative results were achieved after endosurgical closure of lung
wounds. Computed tomography is perspective method of preoperative diagnosis of
lung injury severity.