Simultaneous and consecutive lung resection in bilateral tuberculomas

The purpose of the work was to justify the feasibility of expanding surgical care for patients with bilateral pulmonary tuberculosis by introducing simultaneous bilateral lung resections from transsternal access. The most radical and commonly used interventions for bilateral tuberculosis are bilateral lung resections performed in the same or sequential versions. Under the supervision of the author, there were 420 military personnel members operated on for pulmonary tuberculoma, including bilateral operations were performed in 130 (31%) patients, of which successively - in 18 (13.8%) and simultaneously - in 112 (86.2 %). The optimal condition for performing simultaneous bilateral lung surgery is to achieve clinical and radiological stabilization of the underlying disease, which consists of resorption of perifocal infiltrative changes, delimitation of the pathological process by 1-2 segments or lobes of the lung. All patients at the time of discharge were in satisfactory condition. An X-ray examination revealed that all patients had their lungs straightened, normal pneumatization, no signs of active tuberculosis.

pulmonary tuberculosis, tuberculoma, surgery, bilateral resection