Indications for Extrapleural Thoracoplasty in HIV-Positive Patients with Destructive Pulmonary Tuberculosis
https://doi.org/10.58838/2075-1230-2024-102-2-44-51
Abstract
The objective: to specify indications for extrapleural thoracoplasty in patients with destructive pulmonary tuberculosis and comorbid HIV infection.
Subjects and Methods. Results of surgical treatment of 78 destructive pulmonary tuberculosis patients were studied. Those patients underwent extrapleural thoracoplasty in Pulmonary Tuberculosis Surgery Unit of City Tuberculosis Hospital No. 2 in St. Petersburg from 2009 to 2022.
Results. The article clarifies the indications for extrapleural thoracoplasty in patients with destructive pulmonary tuberculosis and comorbid HIV infection, in whom contraindications to pulmonary resections have been identified. Medical records of 78 patients with destructive tuberculosis were retrospectively analyzed, the patients were divided into two groups according to their HIV status. It has been established that with combination of adequate preoperative preparation and postoperative management, rational anti-tuberculosis chemotherapy and ART, extrapleural thoracoplasty for HIV-positive patients can be performed in accordance with general practice.
About the Authors
G. A. Yakovlev
I.I. Mechnikov Northern-Western Medical University, Russian Ministry of Health
Russian Federation
Russian Federation
Gleb A. Yakovlev, Post Graduate Student of Phthisiopulmonology and Thoracic Surgery Department
Phone: +7 (921) 936-29-98
41 Kirochnaya St., St. Petersburg, 191015
P. M. Ionov
I.I. Mechnikov Northern-Western Medical University, Russian Ministry of Health
Russian Federation
Russian Federation
Pavel M. Ionov, Post Graduate Student of Phthisiopulmonology and Thoracic Surgery Department
Phone: +7 (812) 322-02-11
41 Kirochnaya St., St. Petersburg, 191015
D. V. Alkaz
I.I. Mechnikov Northern-Western Medical University, Russian Ministry of Health
Russian Federation
Russian Federation
Denis V. Alkaz, Post Graduate Student of Phthisiopulmonology and Thoracic Surgery Department
Phone: +7 (812) 303-50-00
41 Kirochnaya St., St. Petersburg, 191015
T. S. Basek
I.I. Mechnikov Northern-Western Medical University, Russian Ministry of Health
Russian Federation
Russian Federation
Taufik S. Basek, Candidate of Medical Sciences, Assistant of Phthisiopulmonology and Thoracic Surgery Department
Phone: +7 (812) 303-50-00
41 Kirochnaya St., St. Petersburg, 191015
G. M. Boyarkin
I.I. Mechnikov Northern-Western Medical University, Russian Ministry of Health
Russian Federation
Russian Federation
Grigory M. Boyarkin, Candidate of Medical Sciences, Assistant of Phthisiopulmonology and Thoracic Surgery Department
Phone: +7 (812) 303-50-00
41 Kirochnaya St., St. Petersburg, 191015
A. V. Elkin
I.I. Mechnikov Northern-Western Medical University, Russian Ministry of Health
Russian Federation
Russian Federation
Aleksey V. Elkin, Doctor of Medical Sciences, Professor, Head of Phthisiopulmonology and Thoracic Surgery Department
Phone: +7 (812) 303-50-00
41 Kirochnaya St., St. Petersburg, 191015
References
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Review
For citations:
Yakovlev G.A., Ionov P.M., Alkaz D.V., Basek T.S., Boyarkin G.M., Elkin A.V. Indications for Extrapleural Thoracoplasty in HIV-Positive Patients with Destructive Pulmonary Tuberculosis. Tuberculosis and Lung Diseases. 2024;102(2):44-51. (In Russ.) https://doi.org/10.58838/2075-1230-2024-102-2-44-51
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