title: [Role of pulmonary resections in management of multidrug-resistant tuberculosis. A monocentric series of 29 patients].
abstract: BACKGROUND
  Multidrug-resistant tuberculosis (MDR-TB) is a worldwide health problem. Surgery is often used as an adjuvent therapy with anti-tuberculosis agents. The aim of this study is to present our results of pulmonary resections in the treatment of MDR-TB.
  
  
  METHODS
  [corrected] This is a retrospective monocentric study of 29 patients operated on between 1995 and 2010 for MDR-TB.
  
  
  RESULTS
  Tuberculosis was evolving from 9 to 108 months with a median of 34.77±19.88 months. The average number of tuberculosis relapses was 2.73 per patient. All patients had a destroyed and/or cavitary parenchyma and 17 had bacilli in sputum at the time of surgery. Lobectomy (51.17%) and pneumonectomy (41.37%) were the main interventions carried out. The operative mortality was 3.44%. Complications such prolonged air leaking and empyema had occurred in 9 patients. The rate of postoperative microbiological conversion was 88.23%. One patient had a relapse 5 months after surgery.
  
  
  CONCLUSIONS
  Surgery associated with medical treatment provides a high cure rate to the detriment of an acceptable morbidity and mortality.
authors.affiliation: Service de chirurgie thoracique, CHU Ibn-Sina, BP 353, 10001 Rabat, Maroc; Unité de pédagogie et de recherche en chirurgie thoracique, faculté de médecine, Rabat, Maroc. Electronic address: m.bouchikh@um5s.net.ma.
authors.forename: M
authors.initials: M
authors.lastname: Bouchikh
authors.affiliation: Service de chirurgie thoracique, CHU Ibn-Sina, BP 353, 10001 Rabat, Maroc; Unité de pédagogie et de recherche en chirurgie thoracique, faculté de médecine, Rabat, Maroc.
authors.forename: A
authors.initials: A
authors.lastname: Achir
authors.affiliation: Service de chirurgie thoracique, CHU Ibn-Sina, BP 353, 10001 Rabat, Maroc.
authors.forename: M
authors.initials: M
authors.lastname: Caidi
authors.affiliation: Service de chirurgie thoracique, CHU Ibn-Sina, BP 353, 10001 Rabat, Maroc.
authors.forename: S
authors.initials: S
authors.lastname: El Aziz
authors.affiliation: Service de chirurgie thoracique, CHU Ibn-Sina, BP 353, 10001 Rabat, Maroc; Unité de pédagogie et de recherche en chirurgie thoracique, faculté de médecine, Rabat, Maroc.
authors.forename: A
authors.initials: A
authors.lastname: Benosman
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy / Q000379:methods / Q000401:mortality / Q000706:statistics & numerical data; D013902:Radiography, Thoracic; D012189:Retrospective Studies; D018088:Tuberculosis, Multidrug-Resistant / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000401:mortality / Q000601:surgery*; D055815:Young Adult
keywords: Chirurgie; Lobectomie; Lobectomy; Multidrug-resistant tuberculosis; Pneumonectomie; Pneumonectomy; Pulmonary resection; Résection pulmonaire; Tuberculose; Tuberculose multirésistante; Tuberculosis