Immediate and postponed results of resection interventions in pulmonary tuberculosis patients with local inflammatory changes in the bronchial tree
https://doi.org/10.58838/2075-1230-2023-101-1S-26-31
Abstract
The objective: to study the frequency and nature of postoperative complications, immediate and postponed results of resection interventions in pulmonary tuberculosis patients depending on the presence and pathomorphological parameters of local infl ammatory changes in the bronchial tree.
Subjects and Methods. 147 pulmonary tuberculosis patients who underwent pulmonary resection were enrolled in the prospective cohort study. Main Group (n=49) included patients with local infl ammatory changes in the bronchi before surgery; Comparison Group (n=98) included patients with no infl ammatory changes in the bronchi.
Results. The presence of local infl ammatory changes in the bronchial tree detected by bronchoscopy, did not have a signifi cant impact on the development of complications during surgical treatment - neither on their number nor on structure. The incidence of complications of resection interventions depends on severity of tuberculosis lesions in the lung.
About the Authors
Zh. A. Laushkina
Novosibirsk Tuberculosis Research Institute
Russian Federation
Russian Federation
Zhanna A. Laushkina, Doctor of Medical Sciences, Head of Applied Research Department
81a, Okhotskaya St., Novosibirsk, 630040
S. V. Sklyuev
Novosibirsk Tuberculosis Research Institute
Russian Federation
Russian Federation
Sergey V. Sklyuev, Candidate of Medical Sciences, Head of Endoscopy
81a, Okhotskaya St., Novosibirsk, 630040
D. V. Krasnov
Novosibirsk State Medical University, Russian Ministry of Health
Russian Federation
Russian Federation
Denis V. Krasnov, Candidate of Medical Sciences, Associate Professor of Phthisiopulmonology Department
52, Krasny Ave., Novosibirsk, 630091
Phone: +7 (383) 299-29-22
D. A. Skvortsov
Novosibirsk Tuberculosis Research Institute
Russian Federation
Russian Federation
Dmitry A. Skvortsov, Candidate of Medical Sciences, Head of Tuberculosis Pulmonary Surgery Department
81a, Okhotskaya St., Novosibirsk, 630040
N. V. Stavitskaya
Novosibirsk Tuberculosis Research Institute
Russian Federation
Russian Federation
Natalia V. Stavitskaya, Doctor of Medical Sciences
81a, Okhotskaya St., Novosibirsk, 630040
References
1. Avdienko K.A., Krasnov V.A., Krasnov D.V., Grischenko N.G., Reykhrud M.V., Kononenko V.G.The morphological pattern of bronchial wall at the place of resection in pulmonary tuberculosis patients after peribronchial lymphotropic or inhalation therapy. Tuberculosis and Lung Diseases, 2018, vol. 96, no. 12, pp. 49-54. (In Russ.) https://10.21292/2075-1230-2018-96-12-49-54
2. Lukomskiy G.I. Bronkhologiya: monografiya. [Bronchology. The monograph]. Moscow, Meditsina Publ., 1973, 360 p.
3. Natsionalnye klinicheskie rekomendatsii po primeneniyu khirurgicheskikh metodov v lechenii tuberkuleza legkikh. [National clinical recommendations on the use of surgery in pulmonary tuberculosis treatment]. Natsionalnaya Assotsiatsiya Ftiziatrov Publ., Аssotsiatsiya Torakalnykh Khirurgov Rossii Publ., Moscow, 2013.
4. Omelchuk D.E., Krasnov D.V., Petrenko T.I. The structure of intra- and postoperative complications after surgery for fibrous-cavernous pulmonary tuberculosis and their impact on the surgery outcome. Tuberculosis and Lung Diseases, 2022, vol. 100, no. 4, pp. 33-40. (In Russ.) https://doi.org/10.21292/2075-1230-2022-100-4-33-40
5. Pekhtusov V.A., Tatarintsev A.V., Giller D.B., Bizhanov A.B., Enilenis I.I. The impact of surgical sanation of patients with destructive tuberculosis on the tuberculosis prevalence and mortality. Khirurgiya. 2020, no. 2, pp. 48-52. (In Russ.) https://doi.org/10.17116/hirurgia202002148
6. Rogozhkin P.V., Borodulina E.A. The postponed treatment outcomes of pulmonary tuberculosis patients after radical pulmonary resection. Tuberculosis and Lung Diseases, 2018, vol. 96, no. 3, pp. 24-28. https://doi.org/10.21292/2075-1230-2018-96-3-24-28;
7. Giller D.B. Treatment of pulmonary tuberculosis: past and present. Eur. J. Cardiothorac. Surg., 2018, vol. 53, no. 5, pp. 967-972. https://doi.org/10.1093/ejcts/ezx447
8. Marrone M.T., Venkataramanan V., Goodman M., Hill A.C., Jereb J.A., Mase S.R. Surgical interventions for drug-resistant tuberculosis: a systematic review and meta-analysis. The International Journal Tuberculosis and Lung Diseases, 2013, vol. 17, no. 1, pp. 6-16.
Review
For citations:
Laushkina Zh.A., Sklyuev S.V., Krasnov D.V., Skvortsov D.A., Stavitskaya N.V. Immediate and postponed results of resection interventions in pulmonary tuberculosis patients with local inflammatory changes in the bronchial tree. Tuberculosis and Lung Diseases. 2023;101(1S):26-31. (In Russ.) https://doi.org/10.58838/2075-1230-2023-101-1S-26-31
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