Surgery for thoracic tuberculosis

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 tuberculos...

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Bibliographic Details
Published in:Revue de pneumologie clinique 2015-04, Vol.71 (2-3), p.140-158
Main Authors: Kilani, T, Boudaya, M S, Zribi, H, Ouerghi, S, Marghli, A, Mestiri, T, Mezni, F
Format: Article
Language:fre
Subjects:
Humans
Mediastinal Diseases - diagnosis
Mediastinal Diseases - surgery
Patient Selection
Pneumonectomy - methods
Risk Factors
Thoracic Surgery, Video-Assisted - methods
Thoracic Wall - microbiology
Thoracic Wall - pathology
Thoracic Wall - surgery
Thoracoplasty
Thoracotomy
Treatment Outcome
Tuberculosis - complications
Tuberculosis - diagnosis
Tuberculosis - surgery
Tuberculosis, Multidrug-Resistant - diagnosis
Tuberculosis, Multidrug-Resistant - surgery
Tuberculosis, Pleural - diagnosis
Tuberculosis, Pleural - surgery
Tuberculosis, Pulmonary - diagnosis
Tuberculosis, Pulmonary - surgery
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Summary: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.
ISSN:0761-8417
DOI:10.1016/j.pneumo.2014.03.005