2001 Volume 15 Issue 7 Pages 732-735
Between 1988 and 1999, we performed operations for 22 patients with pulmonary tuberculosis; lobectomy 14, pneumonectomy 5, lobectomy+segmentectomy 2, segmentectomy 1. The indications for surgery in our hospital include multidrug resistant tuberculosis (MDRTB), hemoptysis, and destroyed lung.
The operative mortality rate was 0%, and the major complication rate was of 17.6%, including 2 patients with air leaks that lasted longer than 7 days and 1 patient with wound infection.
Of the patients who underwent operations as part of the therapeutic regimen for MDRTB, 15 (88.2%) of 17 had obtained culture negative and 2 patients did not; 1 patient had a remaining lesion and the other had a contralateral cavity lesion.
Surgical resection is indicated in patients with MDRTB who have a poor prognosis with medical treatment if it is performed early, if the disease is localized and if there is adequate pulmonary reserve.
