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Cirugía pulmonar en tuberculosis / Surgery for pulmonary tuberculosis: Review of 33 operated patients
Rodríguez, Macarena; Munita, José Manuel; Bannura, Felipe; Rodríguez, Juan Carlos; Rodríguez, Patricio; Pérez, Daniel.
  • Rodríguez, Macarena; Universidad del Desarrollo. Clínica Alemana. Facultad de Medicina. Hospital Padre Hurtado. Servicio de Medicina.
  • Munita, José Manuel; Universidad del Desarrollo. Clínica Alemana. Facultad de Medicina. Hospital Padre Hurtado. Servicio de Medicina.
  • Bannura, Felipe; Hospital INER y CT. Servicio de Cirugía.
  • Rodríguez, Juan Carlos; Hospital INER y CT. Servicio de Medicina.
  • Rodríguez, Patricio; Hospital INER y CT. Servicio de Cirugía.
  • Pérez, Daniel; Universidad del Desarrollo. Clínica Alemana. Facultad de Medicina.
Rev. méd. Chile ; 137(2): 234-239, feb. 2009. tab
Artículo en Español | LILACS | ID: lil-516088
ABSTRACT

Background:

Surgical treatment for pulmonary tuberculosis is mainly ¡imited to the management of sequelae such as bronchiectasis, hemoptysis and brochopleural fistulae.

Aim:

To review the data of patients who underwent surgical treatment for pulmonary tuberculosis. Material and

methods:

Retrospective review of 33 patients aged 18 to 73 years (24 males) who underwent lung resection surgery for the management of pulmonary tuberculosis. Follow-up data were obtained from outpatient visit records and registries of the national tuberculosis program.

Results:

The reasons to perform surgery were the following fifteen for hemoptysis, nine for lung destruction and nine for an active and multiresistant disease. No patient died in the postoperative period. The morbidity observed included empyema (n =5), pneumothorax (n =2), bronchopleural fístula (n =2) and hemothorax (n =2). At six months offollow up, six of the nine patients with active tuberculosis had negative acid-fast bacilli on sputum smear. Two of these patients died, one due to respiratory failure and another by an unrelated cause. Both dead patients had negative acid-fast bacilli on sputum smear.

Conclusions:

Surgery in pulmonary tuberculosis has a high rate of complications butmay be usefulin selected patients.
Asunto(s)

Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Tuberculosis Pulmonar Tipo de estudio: Estudio observacional / Estudio pronóstico / Factores de riesgo Límite: Adolescente / Adulto / Anciano / Femenino / Humanos / Masculino Idioma: Español Revista: Rev. méd. Chile Asunto de la revista: Medicina Año: 2009 Tipo del documento: Artículo País de afiliación: Chile

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Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Tuberculosis Pulmonar Tipo de estudio: Estudio observacional / Estudio pronóstico / Factores de riesgo Límite: Adolescente / Adulto / Anciano / Femenino / Humanos / Masculino Idioma: Español Revista: Rev. méd. Chile Asunto de la revista: Medicina Año: 2009 Tipo del documento: Artículo País de afiliación: Chile