[Surgery for respiratory tuberculosis at the Research Institute of Phthisiopulmonology, I. M. Sechenov Moscow Medical Academy: history and current trends].
The authors present concise data on the history of surgical treatment for pulmonary tuberculosis at the Research Institute of Phthisiopulmonology, I. M. Sechenov Moscow Medical Academy (1918-2008). They analyze the results of surgical treatment in 1007 patients with different forms of pulmonary tuberculosis in the past 10 years. The most common indications for surgical treatment are tuberculoma (44.2%), fibrocavernous and cirrhotic tuberculosis (37.8%), chronic pleuritis and pleural empyema (7.3%). There are prevalent resection-type operations (77.7%), with fatal cases after pneumonectomy (3.9%), lobectomy (0.6), and minor resections (0%). The proportion of thorocoplastic operations was 4.1% without fatal cases. Mini-invasive surgery using video-assisted technologies have received wide recognition in the diagnosis and surgical treatment of pulmonary tuberculosis. The results of treatment depend on the extent and presence of complications of a tuberculous process, comorbidity, suppressed immunity, and the scope of a surgical intervention. Overall, the efficiency of surgical treatment of patients with pulmonary tuberculosis is 90% or more.
Ots
O N
ON
Sinitsyn
M V
MV
Semenov
G I
GI
Latyshev
A N
AN
Agkatsev
T V
TV
Kessel'
M M
MM
D000047:Academies and Institutes / Q000266:history*; D035843:Biomedical Research / Q000266:history*; D049673:History, 20th Century; D049674:History, 21st Century; D006801:Humans; D055552:Infectious Disease Medicine / Q000266:history*; D009031:Moscow; D015272:Pulmonary Medicine / Q000266:history*; D014397:Tuberculosis, Pulmonary / Q000266:history*