title: [Surgery for thoracic tuberculosis].
abstract: Tuberculosis is mainly a medical disease. Surgery has been the unique therapeutic tool for a long time before the advent of specific antituberculous drugs, and the role of surgery was then confined to the treatment of the sequelae of tuberculosis and their complications. The resurgence of tuberculosis and the emergence of multidrug-resistant TB combined to immunosuppressed patients represent a new challenge for tuberculosis surgery. Surgery may be indicated for a diagnostic purpose in patients with pulmonary, pleural, mediastinal or thoracic wall involvement, or with a therapeutic purpose (drainage, resection, residual cavity obliteration). Modern imaging techniques and the advent of video-assisted thoracic surgery allowed a new approach of this pathology; the majority of diagnostic interventions and selected cases requiring lung resection can be performed through a mini-invasive approach. Patients proposed for aggressive surgery may be treated with the best results thanks to a good evaluation of the thoracic lesions, of the patients' nutritional, infectious and general status combined with a good coordination between the specialized medical team for an optimal preparation to surgery.
authors.affiliation: Hôpital Abderrahmane Mami, université Tunis El Manar, Ariana, Tunisie. Electronic address: tarek.kilani@rns.tn.
authors.forename: T
authors.initials: T
authors.lastname: Kilani
authors.affiliation: Hôpital Abderrahmane Mami, université Tunis El Manar, Ariana, Tunisie.
authors.forename: M S
authors.initials: MS
authors.lastname: Boudaya
authors.affiliation: Hôpital Abderrahmane Mami, université Tunis El Manar, Ariana, Tunisie.
authors.forename: H
authors.initials: H
authors.lastname: Zribi
authors.affiliation: Hôpital Abderrahmane Mami, université Tunis El Manar, Ariana, Tunisie.
authors.forename: S
authors.initials: S
authors.lastname: Ouerghi
authors.affiliation: Hôpital Abderrahmane Mami, université Tunis El Manar, Ariana, Tunisie.
authors.forename: A
authors.initials: A
authors.lastname: Marghli
authors.affiliation: Hôpital Abderrahmane Mami, université Tunis El Manar, Ariana, Tunisie.
authors.forename: T
authors.initials: T
authors.lastname: Mestiri
authors.affiliation: Hôpital Abderrahmane Mami, université Tunis El Manar, Ariana, Tunisie.
authors.forename: F
authors.initials: F
authors.lastname: Mezni
mesh_terms: D006801:Humans; D008477:Mediastinal Diseases / Q000175:diagnosis / Q000601:surgery; D018579:Patient Selection; D011013:Pneumonectomy / Q000379:methods; D012307:Risk Factors; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods; D035441:Thoracic Wall / Q000382:microbiology / Q000473:pathology* / Q000601:surgery*; D013905:Thoracoplasty; D013908:Thoracotomy; D016896:Treatment Outcome; D014376:Tuberculosis / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D018088:Tuberculosis, Multidrug-Resistant / Q000175:diagnosis / Q000601:surgery; D014396:Tuberculosis, Pleural / Q000175:diagnosis / Q000601:surgery; D014397:Tuberculosis, Pulmonary / Q000175:diagnosis / Q000601:surgery
keywords: Aspergilloma; Aspergillome; Chirurgie thoracique; Drug-resistant tuberculosis; Empyème tuberculeux; Extensively; Thoracic surgery; Thoracoplastie; Thoracoplasty; Tuberculose; Tuberculose multirésistante; Tuberculosis; Tuberculous empyema; Ultra-résistante; Video-assisted; Vidéo-assistée