The current role of thoracic surgery in tuberculosis management.
Although tuberculosis is mainly managed medically today, thoracic surgery continues to play a key role in its diagnosis and treatment in selected subgroups of patients. In certain scenarios such as multi-drug-resistant tuberculosis, advanced tuberculous empyema and symptomatic bronchial stenosis, modern thoracic surgery may represent the only effective means of management in selected patients. Advances in thoracic surgery in recent years, in particular the use of Video-Assisted Thoracic Surgery, not only reduce postoperative morbidity for individual patients, but may potentially allow a wider range of tuberculosis patients to benefit from surgery. Respiratory physicians and thoracic surgeons should continue to work together to ensure that tuberculosis patients who may benefit from surgery are identified for prompt and effective intervention.
Sihoe
Alan D L
AD
Department of Cardiothoracic Surgery, The University of Hong Kong Medical Center, Queen Mary Hospital, Hong Kong, China. adls1@lycos.com
Shiraishi
Yuji
Y
Yew
Wing Wai
WW
D001987:Bronchiectasis / Q000209:etiology / Q000601:surgery; D006469:Hemoptysis / Q000209:etiology / Q000601:surgery; D006801:Humans; D008168:Lung / Q000473:pathology / Q000601:surgery; D013903:Thoracic Surgery / Q000379:methods*; D020775:Thoracic Surgery, Video-Assisted; D014376:Tuberculosis / Q000150:complications / Q000473:pathology / Q000601:surgery*