title: [Possibilities of surgical treatment for advanced multiresistant pulmonary tuberculosis].
abstract: The results of surgical treatment of 37 patients, suffering relatively advanced pulmonary tuberculosis (PT), were analyzed. Chemoresistant PT was revealed in 35 (94.6%) observed patients, and multiresistant one--in 30 (81.1%). Preoperative preparation during 2-3 mo was conducted in two main directions: administration of a line II antibacterial preparations and a pneumoperitoneum (PP) establishment. A main operative procedure was resection. Intrapleural thoracoplasty in our own modification have constituted a seconf direction of treatment, it consisted obligatory of the 5 ribs resection. Initially a rib V was partially resected 8-10 cm in length, and a rib I was excised completely. Complications were absent. The patients were discharged from the hospital in 2-3 mo postoperatively. PP in 34 (91.9%) patients was completed in a same terms. In a remote postoperative period (1-4 yrs) a tuberculosis reactivation was absent. All operated patients were bacilli free.
authors.forename: I D
authors.initials: ID
authors.lastname: Duzhyĭ
authors.forename: O V
authors.initials: OV
authors.lastname: Kravets'
authors.forename: I Ia
authors.initials: IIa
authors.lastname: Hres'ko
mesh_terms: D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D024901:Drug Resistance, Multiple, Bacterial; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009169:Mycobacterium tuberculosis / Q000187:drug effects; D011013:Pneumonectomy / Q000379:methods*; D011027:Pneumoperitoneum / Q000382:microbiology / Q000473:pathology / Q000601:surgery*; D011184:Postoperative Period; D012272:Ribs / Q000601:surgery; D013905:Thoracoplasty / Q000379:methods*; D016896:Treatment Outcome; D018088:Tuberculosis, Multidrug-Resistant / Q000188:drug therapy / Q000382:microbiology / Q000473:pathology / Q000601:surgery*; D014397:Tuberculosis, Pulmonary / Q000188:drug therapy / Q000382:microbiology / Q000473:pathology / Q000601:surgery*
chemical_list: D000995:Antitubercular Agents