[Thoracoskopy in diagnosis and treatment of lung injuries].

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.