Dmitry Giller
I.M.Sechenov First Moscow State Medical University, Russia
Title: Surgery for bilateral drug-resistant pulmonary tuberculosis with totally destroyed lung
Biography
Biography: Dmitry Giller
Abstract
189 patients (aged from 14 till 57) underwent surgery for bilateral drug-resistant destructive pulmonary tuberculosis with one totally destroyed lung from 1998 to 2015. All patients underwent pneumonectomies. In 54 cases – with contralateral lung resections, 30 preliminary transsternal occlusions of the main bronchus were performed on patients with low functional respiratory and cardiovascular reserve or with pleural empyema, including 6 cases of straightway one-stage contralateral lung resections. Lung collapse surgery on the pneumonectomy side or on the side of the only one lung was carried-out in 126 cases. All of them were performed with our original minimally invasive technique. We analyzed complications, the direct and remote results of the surgical treatment this group of patients. The 30-days mortality was in 3 cases: 1 after pneumonectomy, 1 after thoracomioplasty, 1 after transsternal occlusions of the main bronchus with straightway contralateral right lobectomy
