2019 Volume 33 Issue 4 Pages 387-393
Patients with refractory nontuberculous mycobacterial pulmonary disease (NTMPD) are subject to adjunctive pulmonary resection. Ideal surgical candidates are patients whose disease is predominantly localized to one lung. However, we may encounter NTMPD patients who have bilateral airway destructive lesions. Between January 2010 and December 2017, we operated on 184 patients with Mycobacterium avium complex pulmonary disease. Of these, seven patients who underwent two-stage bilateral pulmonary resection were analyzed in this study. All patients were female and had bronchiectatic lesions both in the right middle lobe and left lingular segment. Two of them also had cavitary lesions in the other lobes. The duration of preoperative chemotherapy prior to the first operation was 44.7±70.4 months. The right side was operated on first in five patients and the left side was operated on first in the remaining two. The interval between the first and second surgeries was 8.0±4.1 months. The duration of postoperative chemotherapy after the second operation was 28.6±21.7 months. All patients have been free from relapse/recurrence with an average follow-up of 38.7±27.9 months.
