@article {MotusP2400, author = {Igor Motus}, title = {Argonplasma coagulation in surgery of pulmonary tuberculosis}, volume = {40}, number = {Suppl 56}, elocation-id = {P2400}, year = {2012}, publisher = {European Respiratory Society}, abstract = {Background. Argonplasma coagulation (APC) proved itself to be a hemostatic tool in various fields of surgery (Farin G., Grund K.E. 1994). Coagulation occurs without contactthe active electrode with the tissue, while the flow argon displaces the zone of coagulation of oxygen, which reduces burning of tissue. The problem of bleeding in surgery of severe forms of pulmonary tuberculosis (PTB) is difficult and unsolved.Aims. To employ APC in this field and assess initial (first) results.Methods. APC was applied in 66 cavitary PTB patients with the help of High-frequency electrosurgical APC generator. Namely, in 13 pneumonectomies, in 29 lobectomies, and in 24 cases for debridement of empyema cavity including 12 videothoracoscopic procedures. In cases of firm adhesions pneumolysis was performed using regimen BLEND cutting with coagulation. For haemostasis during debridement we used FULGUR forced deep argon beam coagulation. SPRAY contactless argon beam coagulation was used for haemostasis and pneumostasis of the lung surface.Results. In all cases a proper haemostasis was possible. There were no complications after APC procedures. Average blood loss was 565 ml, which is 23\% lower than in patients where APC was not applied. No appreciable air leakage was detected after APC treatment of the lung surface.Conclusions. The first experience of using this method showed that it is very promising in solving the serious problem in PTB surgery - providing reliable hemostasis as well as preventing air leakage after releasing lung of adhesions.}, issn = {0903-1936}, URL = {https://erj.ersjournals.com/content/40/Suppl_56/P2400}, eprint = {https://erj.ersjournals.com/content/40/Suppl_56/P2400.full.pdf}, journal = {European Respiratory Journal} }