Abstract
Aim of the study: to compare two surgical tactics for the treatment of bilateral pulmonary tuberculosis. Materials and methods: 189 patients with tuberculous lesions in both lungs underwent lung resections: 91 patients had it done simultaneously on both lungs from the unilateral intercostal-mediastinal access by video-assisted thoracoscopy; 98 patients had resections of the left and right lung done one after another, time period between resections made 20.8 ± 9.4 days on the average. Results. The comparison of two tactics - simultaneous bilateral lung resection from a unilateral access and bilateral consecutive resections - showed the advantages of the first tactic: 97.5 and 85.7% of patients had sputum conversion (p = 0.05, x 2 ); 98.9 and 92.9% of patients had healing of lung cavities (p = 0.04,x 2 ).During simultaneous surgery, the risk of intra-operative blood loss exceeding 300 ml was much lower (OR = 13.57; 95% CI 3.98 - 46.29) as well as the risk of postoperative complications (OR = 3.32; 95% CI 1.04 - 10.61).
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