[Osteoplastic thoracoplasty with concomitant pulmonectomy in the surgery of generalized destructive pulmonary tuberculosis].

Abstract

The paper analyzes the results of surgical treatment in 155 patients with generalized destructive pulmonary tuberculosis who underwent pulmonectomy concomitantly with different types of thoracoplasties in 1986 to 1999. According to the type of thoracoplasty, all the patients were divided in 3 groups: 1) 38 patients undergone pulmonectomy with concomitant osteoplastic thoracoplasty; 2) 41 patients had pulmonectomy with concomitant extrapleural thoracoplasty; and 3) 76 had pulmonectomy with concomitant intrapleural thoracoplasty. On discharge, the full clinical effect was achieved in 92.2% of the patients from Group 1 with their mortality rates of 2.6, whereas in the control groups (Groups 2 and 3), the efficiency of treatment was less and the mortality rates were higher (82.9 and 4.9% in Group 2 and 76.3% and 3.9% in Group 3, respectively). Long-term results in 132 patients were followed up for 2-15 years. Clinical recovery was stated in 91.2, 77.8, and 83.3% in Groups 1, 2, and 3, respectively.