Methods of surgical treatment of pulmonary emphysema

Introduction. Emphysema of the lungs is treated exclusively surgically, this is due to the need to prevent subsequent pneumothorax and can improve the patient's quality of life and increase the level of exercise tolerance. Marginal lung resection and pleurectomy are the surgery of choice for pulmonary emphysema, the reconstructive nature is associated with a decrease in lung volume by at least 1/3, which will allow the lung to expand into the remaining cavity. It is important to determine the method of resection that is as safe as possible for the patient, who will have the best performance for rehabilitation. The aim of the study is to determine the best method of surgical intervention for pulmonary emphysema, with a minimum number of complications and the ability to maximize the patient's quality of life without relapses. Materials and methods. Within the framework of this work, 280 operations of surgical treatment of emphysema of the lungs were performed, various approaches to surgery were compared, in order to choose the best surgical treatment option, the positive and negative sides of various surgical interventions were described. Results and discussion. When comparing a robot-assisted operation and an open-access operation, there are a number of discrepancies. Conclusion. Maximum effectiveness can be achieved only if highly professional surgical intervention is combined with proper diagnosis and modern surgical techniques are used.