Surgical management of pulmonary tuberculosis.
Surgery for pulmonary tubercolosis (PTB) is now the second place treatment. Among the surgical indications the most debated is the multi-drug resistance of a focal pulmonary tuberculous disease. Other indications are: bronchiectasis, hemoptysis and the presence of a broncho-pleural fistula. Pulmonary Aspergilloma is a frequent indication for surgery; it is commonly a PTB sequela and causes severe complications. The presence of an unknown pulmonary mass or nodule is a surgical criterion because it might signal a cancer. Surgery therefore now constitutes a valid option for the treatment of clinical patterns of PTB unresponsive to medical treatment in severe, potentially fatal clinical conditions.
Istituto di Patologia Speciale Chirurgica, Divisione di Chirurgia Toracica, Università Cattolica del S. Cuore, Policlinico Agostino Gemelli, Roma, Italy.
A
A
Picciocchi
P
P
Granone
S
S
Margaritora
A
A
Cesario
D
D
Galetta
D001228:Aspergillosis / Q000150:complications; D049671:History, 18th Century; D049672:History, 19th Century; D049673:History, 20th Century; D006801:Humans; D008172:Lung Diseases, Fungal / Q000150:complications; D008175:Lung Neoplasms / Q000150:complications; D018088:Tuberculosis, Multidrug-Resistant / Q000601:surgery; D014397:Tuberculosis, Pulmonary / Q000150:complications / Q000266:history / Q000601:surgery*