Immediate results of lung resections in patients with fibrous cavernous tuberculosis
https://doi.org/10.21292/2075-1230-2019-97-4-36-40
Abstract
The objective of the study: to evaluate the results of lung resections in patients with fibrous cavernous tuberculosis.
Subjects and methods. A retrospective analysis was performed in 722 patients who underwent lung resections due to disseminated fibrous cavernous tuberculosis.
Results. The efficacy of lung resections as a part of comprehensive treatment of patients with disseminated fibrous cavernous tuberculosis was high and provided achievement of a complete clinical effect (sputum conversion and removal of all cavities) in 82.2% of 722 patients (30 (4.2%) patients with hospital mortality). 272/720 (37.8%) patients suffered from complications in the postoperative period (2 patients died of bleeding during surgery). Pleural empyema (primary and secondary) complicated the postoperative course in 68/720 (9.44%) patients, of them 44 people had a failure of the bronchus stump prior to the development of empyema. Within the 6-month period after the surgery, 22/720 (3.1%) patients had their tuberculosis exacerbated.
About the Authors
D. E. Omelchuk
V.F. Voyno-Yasenetsky State Medical University; Krasnoyarsk Clinical TB Dispensary no. 1
Russian Federation
Russian Federation
Danil E. Omelchuk - Candidate of Medical Sciences, Head of Tuberculosis Department with Professional Development Training.
1, Partizana Zheleznyaka St.,Krasnoyarsk, 660022, Phone: +7 (391) 261-76-82
D. V. Krаsnov
Novosibirsk Tuberculosis Research Institute; Novosibirsk State Medical University
Russian Federation
Russian Federation
Denis V. Krasnov - Doctor of Medical Sciences, Associate Professor at FPK and PPV Tuberculosis Control Department.
52, Krasny Ave., Novosibirsk, 630091, Phone: +7 (383) 203-76-93
T. I. Petrenko
Novosibirsk Tuberculosis Research Institute; Novosibirsk State Medical University
Russian Federation
Russian Federation
Tatiana I. Petrenko - Doctor of Medical Sciences, Professor at FPK and PPS Tuberculosis Control Department.
52, Krasny Ave., Novosibirsk, 630091, Phone: +7 (383) 203-78-25
I. A. Bolshаkovа
V.F. Voyno-Yasenetsky State Medical University
Russian Federation
Russian Federation
Irina A. Bolshakova - Candidate of Medical Sciences, Associate Professor of Tuberculosis Department with Professional Development Training.
1, Partizana Zheleznyaka St.,Krasnoyarsk, 660022, Phone: +7 (391) 261-76-82
References
1. Grischenko N.G., Krasnov D.V., Аlekseeva T.V., Аvdienko K.А., Skvortsov D.А., Reykhrud M.V. Analysis of surgeries performed due to pulmonary tuberculosis in Siberian and Far Eastern Federal Districts. Tuberculosis and Lung Diseases, 2017, vol. 95, no. 8, pp. 41-48. (In Russ.)
2. Krasnov V.А., Revyakina O.V., Filippova O.P., Pavlenok I.V., Mitrofanov R.А. Osnovnye pokazateli protivotuberkuleznoy deyatelnosti v Sibirskom i Dalnevostochnom federalnykh okrugakh. [Main indicators of tuberculosis control activities in Siberian and Far Eastern Federal Districts]. Novosibirsk, IPTS NGMU Publ., 2018, 95 p.
3. Krasnov D.V., Skvortsov D.А., Krasnov V.А., Grischenko N.G., Chernova M.V. Osteoplastic thoracoplasty with minimal access in the complex treatment of fibrous cavernous pulmonary tuberculosis patients. Tuberculosis and Lung Diseases, 2014, no. 5, pp. 42-46. (In Russ.)
4. Nechaeva O.B. TB situation in Russia. Tuberculosis and Lung Diseases, 2018, vol. 96, no. 8, pp. 15-24. (In Russ.)
5. Nechaeva O.B., Skachkova E.I. Causes of lethal outcomes due to fibrous cavernous pulmonary tuberculosis in Sverdlovsk Region. Probl. Tub., 2006, no. 7, pp. 27-29. (In Russ.)
6. Ots O.N., Аgkatsev T.V., Perelman M.I. Surgery treatment of pulmonary tuberculosis in case of drug resistance. Probl. Tub., 2009, no. 2, pp. 42-49. (In Russ.)
7. Porkulevich N.I., Mordyk А.V., Gurova Ya.V., Martynova G.G. Analysis of reasons causing fibrous cavernous tuberculosis. Tuberculosis and Lung Diseases, 2015, no. 5, pp. 154. (In Russ.)
8. Yablonskiy P.K., Sokolovich E.G., Аvetisyan А. O.et al. Role of thoracic surgery in the treatment of pulmonary tuberculosis (literature review and personal observations). Med. Alyans, 2014, no. 3, pp. 4-10. (In Russ.)
9. Nelson K.G., Griffith D., Wallace R. J. Pulmonary Mycobacterial Disease. The Role of Surgical Resection. Clin. Pulm. Med., 2004, vol. 11, no. 6, pp. 355-362.
10. Pomerantz B.J., Cleveland J.C., Olson H.K., Pomerantz M. Pulmonary resection for multi-drug resistant tuberculosis. J. Thorac. Cardiovasc. Surg., 2001, vol. 121, pp. 448-453.
Review
For citations:
Omelchuk D.E., Krаsnov D.V., Petrenko T.I., Bolshаkovа I.A. Immediate results of lung resections in patients with fibrous cavernous tuberculosis. Tuberculosis and Lung Diseases. 2019;97(4):36-40. (In Russ.) https://doi.org/10.21292/2075-1230-2019-97-4-36-40
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