RT Journal Article
SR Electronic
T1 Tuberculosis in residual pleural cavity after segmental pulmonary resections and its surgical treatment
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP p2683
VO 38
IS Suppl 55
A1 Tulkun Kariev
A1 Sunnatilla Abulkasimov
A1 Sherzod Rakhmanov
YR 2011
UL http://erj.ersjournals.com/content/38/Suppl_55/p2683.abstract
AB Repeated operations on account of development of tuberculosis in the residual pleural cavity after segmental resections were performed in 54 patients (males – 35, females - 19) in ages between 17 and 46. Residual cavity due to incomplete lung spread developed on the left in upper segments of thoracic cage in 30 patients, on the right – in 24 patients after segmental (9), combined resections (16), lobectomy (26) and bilobectomy (3) on account of fibrous-cavernous tuberculosis. Tuberculosis in residual cavity was diagnosed in 6 months - 1 year after the operations in 28 patients, in 3 years – in 19, in 4-5 years – in 7. Bacteria excretion in sputum was detected in 41 patients (75.9%).After pre-operative chemotherapy and general treatment, lobectomy was performed in 1 patient, pulmonectomy – in 15, thoracoplasty with myoplasty of residual cavity – in 38. Good effectiveness of repeated operations stated in 43 patients (79.6%), unsatisfactory results due to the exacerbation of bronchoalveolar fistula and pleural empyema – in 7 (12.9%). Lethality in 4 patients (7.5%) occurred from the progress of bronchial fistula and pleural empyema. In 3-10 years after operations clinical healing was established in 82.1% of patients. Lethality in 17.9% occurred because of progress of bronchial fistula, pleural empyema and pulmonary tuberculosis.Conclusion: Tuberculosis in residual pleural cavity after segmental pulmonary resections is a heavy pulmonary and pleural pathology characterized by chronic course. Repeated operations – pulmonectomy and thoracoplasty with myoplasty of the residual cavity – are highly effective and allow healing 82.1% of patients.