La pneumonectomie pour les formes actives et séquellaires de la tuberculose

Bouchikh, M.; Smahi, M.; Ouadnouni, Y.; Achir, A.; Msougar, Y.; Lakranbi, M.; Herrak, L.; Aziz, S. El; Malki, Hadj Omar El; Benosman, A.

doi:10.1016/s0761-8425(09)74669-8

Cited by 7 publications

(4 citation statements)

References 24 publications

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“…In our series, postoperative morbidity did not differ between pathologies requiring pneumonectomy. Similarly, Bouchikh et al [15] reported acceptable rates of mortality and empyema after pneumonectomy for benign disease. On the contrary, Shapiro et al [10] found benign lung disease to be associated with an adverse outcome, and Shiraishi et al [17] reported a postoperative mortality of 8.5% following extrapleural pneumonectomy for thoracic empyema.…”

Section: Commentsmentioning

confidence: 93%

“…Mansour et al [9] showed that postoperative atrial fibrillation was more common in the male gender and in age 70 and older. It is worth noticing that male sex [10,13,15,16] and age [10,13,16] have also been identified as independent risk factors for postoperative morbidity and mortality following pneumonectomy. Thus, the increasing number of postoperative arrhythmias and overall morbidity identified in our series may be the result of an ageing population, together with a potential diagnosis bias leading to more frequent treatment of benign postoperative arrhythmias.…”

Section: Commentsmentioning

confidence: 99%

See 1 more Smart Citation

Postoperative morbidity and mortality after pneumonectomy: a 30-year experience of 2064 consecutive patients

Pricopi

Mordant

Rivera

et al. 2014

Interactive CardioVascular and Thoracic Surgery

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Section: Commentsmentioning

confidence: 93%

Section: Commentsmentioning

confidence: 99%

Postoperative morbidity and mortality after pneumonectomy: a 30-year experience of 2064 consecutive patients

Pricopi

Mordant

Rivera

et al. 2014

Interactive CardioVascular and Thoracic Surgery

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show abstract

“…13 • The destroyed lung by tuberculosis, which is the consequence of poorly treated or untreated or recurrent tuberculosis, as for our patient who was treated three times. 14 The chronic inflammatory and infectious process lead to the destruction of the lung and the development of pachypleuritis with pleural symphysis sometimes requiring pleuropneumonectomy like the case of our patient. 15 This laborious and hemorrhagic surgery sometimes requires costal resection during thoracotomy because of the very tight symphysis.…”

Section: Discussionmentioning

confidence: 58%

Which Role for Muscle-Sparing Posterolateral Thoracotomy in the Treatment of Spontaneous Pneumothorax?

Issoufou,

Sani,

Amadou

et al. 2023

Surg J (N Y)

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Objective This study aims to show the place of muscle-sparing posterolateral thoracotomy in the treatment of spontaneous pneumothorax. Methods It was a single-center study performed in the Department of Thoracic Surgery of Teaching hospital Hassan II of Fez for 8 years. We adopted the nosological definition, which classifies spontaneous pneumothorax into three categories. We included patients over 15 years of age with primary or secondary spontaneous pneumothorax operated by posterolateral thoracotomy without muscle section, and we analyzed the specific indications of this approach. It included 49 patients with primary or secondary spontaneous pneumothorax, operated by muscle-sparing posterolateral thoracotomy. Data were collected from regularly updated computer files of patients, entered by Excel 2013, and analyzed using SPSS.20 software. These data are: epidemiological, clinical, radiological, surgical exploration, surgical procedure, the result of the surgery and the evolution. Results The average age was 42 years. Smoking was found in 61% of cases and pulmonary tuberculosis in 10% of cases. Thoracic computed tomography (CT) showed bullae and blebs in 31% of cases, pleural adhesions and pachypleuritis in 50% of cases, and hydropneumothorax with pachypleuritis in 37% of cases. There is a statistical correlation between pleuropulmonary decortication and pachypleuritis (p = 0.002) or hydropneumothorax (p = 0.001) on CT. Bullae and blebs resection was performed in 53% of cases and pleuropulmonary decortication in 63% of cases. A right pleuropneumonectomy was performed in one case. The follow-up was uneventful in 82% of cases. Conclusion Muscle-sparing posterolateral thoracotomy remains the best approach and leads to good results.

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“…Some patients continue to shed bacteria, which becomes a persistent source of infection and can even induce the drug resistance of tuberculosis ( 5 , 6 ). Some patients with cavities are prone to secondary infection mold, with hemoptysis or even massive hemoptysis potentially endangering life ( 7 ).…”

Section: Introductionmentioning

confidence: 99%

Comparison of clinical effects between regional arterial embolization combined with surgery and simple surgery in the treatment of tuberculosis-destroyed lung—a retrospective comparative cohort study

Wang¹,

Jiang²,

Zhang³

et al. 2023

J Thorac Dis

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Background: The patients with tuberculosis-destroyed lungs often have heavy adhesion in the affected side of the pleural cavity and abundant collateral circulation, which bring about considerable challenges to surgical treatment. Some patients with tuberculosis-destroyed lungs will have hemoptysis symptoms. In clinical work, we found that patients with hemoptysis before surgery due to hemoptysis through regional artery occlusion treatment often have less bleeding during surgery, and it is relatively easy to stop bleeding during surgery, and the operation time is short. This study mainly used retrospective comparative cohort studies to explore the clinical efficacy of combined surgical treatment after regional systemic artery embolization pretreatment of tuberculosis-destroyed lung and provides a basis for further optimizing the surgical treatment of tuberculosis-destroyed lung.Methods: From June 2021 to September 2022, 28 patients with tuberculosis-destroyed lungs who underwent surgery in our department from the same medical group were selected. The patients were divided into 2 groups according to whether regional arterial embolization was introduced before surgery. In the observation group (n=13), before surgery, all patients received arterial embolization in the target area for hemoptysis, and surgery was performed 24-48 h after embolization. In the control group (n=15), direct surgical treatment was performed without embolization. The factors including operation time, intraoperative blood loss, and postoperative complication rates were compared between the 2 groups to assess the value of regional artery embolization combined with surgery in the treatment of tuberculosis-destroyed lung.Results: There was no significant difference between the 2 groups in general condition and disease condition, including age, duration of disease, location of lesion, and operation method (P>0.05). The operation time in the observation group was shorter than that in the observation group (P<0.05), the amount of intraoperative bleeding in the observation group was lower than that in the control group (P<0.05). The incidence of postoperative complications including pulmonary infection, anemia, and hypoproteinemia in the observation group was lower than that in the control group (P<0.05). Conclusions: Regional arterial embolism preconditioning combined with surgical operation may reduce the risk of conventional surgical treatment, shorten the operation time, and reduce postoperative complications.

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La pneumonectomie pour les formes actives et séquellaires de la tuberculose

Cited by 7 publications

References 24 publications

Postoperative morbidity and mortality after pneumonectomy: a 30-year experience of 2064 consecutive patients

Postoperative morbidity and mortality after pneumonectomy: a 30-year experience of 2064 consecutive patients

Which Role for Muscle-Sparing Posterolateral Thoracotomy in the Treatment of Spontaneous Pneumothorax?

Comparison of clinical effects between regional arterial embolization combined with surgery and simple surgery in the treatment of tuberculosis-destroyed lung—a retrospective comparative cohort study

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