Present forms of the tuberculosis for which surgery is required

Ref ID: 18428

Author:

Nicolae Galie, Cornel Savu, Vasile Grigorie , Cornel Petreanu,
Emilia Crisan, Emilia Tabacu.

Author address:

Clinic of Thoracic Surgery, National Institute
of Pneumoftisiology Prof. Dr. Marius Nasta, Bucharest, Romania; Clinic of
Bronchology, National Institute of Pneumoftisiology Prof. Dr. Marius Nasta,
Bucharest, Romania; Clinic of Pneumology, National

Full conference title:

European Respiratory Congress

Abstract:

Introduction: With introduction of tuberculostatic drugs, the surgical indications
were diminished in the last decades. Altrough, in a country like Romania which
touch record level of the tuberculosis’s incidence in time, the surgical approach
changed. For example, toracoplasty was abandoned or utilized for selected case.
Also, there are new methods of diagnosis who require the surgical approach.
Objectives: The work presents the value of surgery in the diagnosis and in the
traitement.
Material and methods: We retrospectively reviewed 67 patients (47 males and
20 females, mean age: 50.2 years) treated between 2008 and 2010. We utilised
in diagnosis the mediastinoscopy for mediastinal adenopathies biopsy in 2 cases,
videoassisted thoracoscopy for pleural biopsy in 28 cases. We aplied pleuropulmonary
decortication for 12 patients with lung trapped after adequate medical
therapy.A point of view of lung resection we had 8 atipical lung resection for
solitary nodule of unknown cause, 11 lobectomy and 6 pneumonectomy for lung
distruction, caverns or MDR-TB.
Results: There was one operation-related death (1.5%) and 5 major postoperative
complications (7.5%). 22 of 25 of pulmonary resection remained free of TB folowing
surgery. Preoperative comorbidity, Aspergillus coinfection, operation time and
emergency were the factors shown to be predictive of an unfavorable outcome.
Conclusions: Surgery remains a crucial adjunct to medical therapy for the treatment
of TB and medical failure lesions. We identified temporal changes in the
methods of diagnosis and traitement for tuberculosis.

Abstract Number: 4704

Conference Year: 2011

Link to conference website: http://www.ers-education.org/ersMade/abstract_print_11/files/Abstract_book_2011.pdf

New link: NULL

Conference abstracts, posters & presentations

Showing 10 posts of 17325 posts found.

  • Title

    Author

    Year

    Number

    Poster