[Differential approach to lymphadenectomy in patients with progressive fibrocavernous pulmonary tuberculosis].
The resection specimens from 31 patients with fibrocavernous tuberculosis (FCT) underwent a complex clinical andimmunological study, as well as a morphological one. It was ascertained that partial or extended lymphadenectomy did not always positively correlate with an adequate postoperative immune response and it depended on the morphological features of lymphatic apparatus lesion. The direct results of surgical treatment of patients with FCT suggest that in patients with specific lymphadenitis and cell-mediated immunodeficiency, the frequency of postoperative specific pleuropulmonary complications and their severity considerably exceed those if there is an adequate immune response. In patients with progressive FCT, baseline cell-mediated immunity deficiency is aggravated by surgery, increasing the risk of postoperative specific and nonspecific infectious pleuropulmonary complications.
Basek
T S
TS
El'kin
A V
AV
Knoring
B E
BE
Kobak
M E
ME
Kirillov
Iu V
IuV
D018450:Disease Progression; D006801:Humans; D007111:Immunity, Cellular; D008197:Lymph Node Excision / Q000379:methods*; D008198:Lymph Nodes / Q000276:immunology / Q000473:pathology / Q000601:surgery*; D013909:Thorax; D014397:Tuberculosis, Pulmonary / Q000276:immunology / Q000473:pathology / Q000601:surgery*