tailieunhanh - Results of Lobectomy and Pneumonectomy in Pulmonary TB

The results of lobectomy and pneumonectomy in treating various benign and malignant lesions of lung have been reported. The complications and results of such procedures in the presence of pulmonary tuberculosis (TB) have been described in older texts. However these reports have lessened due to the decrease in the number of patients seen over the last decades. Thus, it's not clear that to what extent the advancements seen in surgical and anesthetic procedures were effective in lessening the complications of such procedures. Materials and Methods: The study group consisted of all referral patients suffering from pulmonary TB or its complications that had undergone lobectomy or. | ORIGINAL RESEARCH ARTICLE Tanaffos 2003 2 7 33-39 2003 NRITLD National Research Institute of Tuberculosis and Lung Disease Iran Results of Lobectomy and Pneumonectomy in Pulmonary TB Azizollah Abbasi Dezfouli Abolghasem Daneshvar Kakhki Roya Farzanegan Mojtaba Javaherzadeh Department of Thoracic Surgery NRITLD Shaheed Beheshti University of Medical Sciences and Health Services TEHRAN-IRAN ABSTRACT Background The results of lobectomy and pneumonectomy in treating various benign and malignant lesions of lung have been reported. The complications and results of such procedures in the presence of pulmonary tuberculosis TB have been described in older texts. However these reports have lessened due to the decrease in the number of patients seen over the last decades. Thus it s not clear that to what extent the advancements seen in surgical and anesthetic procedures were effective in lessening the complications of such procedures. Materials and Methods The study group consisted of all referral patients suffering from pulmonary TB or its complications that had undergone lobectomy or pneumonectomy in Massih Daneshvari Hospital from October 1996 to September 2003 7 years . All the necessary information and data were collected from both medical records of the patients and special questionnaires that were designed by our staff in 1996 for this purpose. Statistical analysis was carried out descriptively by using frequency and percentage. Presence of TB in the patients was confirmed by identifying the microorganism in the tissues detecting pathological changes in favour of TB and or having past history of pulmonary TB associated with its anatomical complications such as cavitation bronchiectasis and bronchial stenosis. Results A total number of 172 patients underwent surgical procedures either for diagnosis of TB or managing its complications. Lobectomy was performed in 27 patients while 7 underwent pneumonectomy. The indications for these surgical procedures were recurrent .