There were 6 the most typical violations of surgical care in 42% of patients with the first episode of spontaneous pneumothorax. Medical and diagnostic violations at regional centers and central district hospitals were the same, but there were differences in certain types of errors and their incidence. Minimally invasive technologies do not significantly affect the number of violations of thoracic surgery principles. Early procedures against the recurrence by using of thoracoscopic interventions reduce postoperative morbidity from 1.2 to 0.3% and mortality by 8.25 times.

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1 Кафедра общей хирургии с урологией им. А.А. Полянцева»; 2 кафедра хирургических болезней и нейрохирургии ФУВ ГБОУ ВПО «Волгоградский государственный медицинский университет» Минздрава России; 3 ГБУЗ «Волгоградская областная клиническая больница №1», Волгоград Video-assisted and thoracoscopic surgeries in the first episode of spontaneous pneumothorax

The retrospective analysis of nearest results of laparoscopic surgery for cardiospasm was provided according to the materials of the department of thoracic surgery of the «Volgograd Regional clinical Hospital №1» for 2018–2020. The research included 32 laparoscopic surgical treatment cases of cardiospasm II–III stage with Heller’s method with Nissen’s fundoplication or partial fundoplication after Tupa (270 ºС). Analysis of the nearest results of laparoscopic surgery for cardiospasm rated the advantages of the laparoscopic method in perfoming exstramucosal esophagocardiomyotomy are assessed. The traumatism and time of the operation decreasewas marked, it was reduced the patients hospital stay and postoperation rehabilitation was also redused in patients with II–III stage of the disease.

Aim of the research. To provide retrospective analysis of nearest results of laparoscopic surgery for cardiospasm (according to the materials of the department of thoracic surgery of the «Volgograd Regional clinical Hospital № 1» for 2018–2020). Materials and methods. The research include 32 laparoscopic surgical treatment cases of cardiospasm II–III stage. Results. Analysis of the nearest results of laparoscopic surgery for cardiospasm rated the advantages of the laparoscopic method in perfoming exstramucosal esophagocardiomyotomy are assessed. Conclusion. Marked decrease traumatism and time of the operation. Redused the patients hospital stay and postoperation rehabilitation was also redused in patients with II–III stage of the disease.