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).
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
