1997
DOI: 10.1007/pl00012272
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Abstract: Surgery for pulmonary tuberculosis (PTB) has passed through various stages throughout history, having been the treatment of choice in the past. It has now been relegated to second place for treatment of this disease. One of the most strongly debated surgical indications has been clinical picture of multidrug resistance with the focus of pulmonary tuberculous activity located in a segment, lobe, or lung. In these cases some authors have described good results with surgical excision. Another important indication… Show more

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Cited by 32 publications
(39 citation statements)
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“…Surgery for pulmonary tuberculosis has passed through various stages in history and is now been relegated to second place for treatment of this disease. However, it still remains a valid option in the background of multidrug resistance organism with localised disease in lungs and in children with MTL that produces compressive symptoms [21]. Recently, we have been performing video-assisted thoracoscopy instead of thoracotomy for achieving diagnostic biopsy and/or resection of the lesion.…”
Section: Discussionmentioning
confidence: 98%
“…Surgery for pulmonary tuberculosis has passed through various stages in history and is now been relegated to second place for treatment of this disease. However, it still remains a valid option in the background of multidrug resistance organism with localised disease in lungs and in children with MTL that produces compressive symptoms [21]. Recently, we have been performing video-assisted thoracoscopy instead of thoracotomy for achieving diagnostic biopsy and/or resection of the lesion.…”
Section: Discussionmentioning
confidence: 98%
“…To treat tubercular pulmonary sequelae, such as destroyed lung, bronchiectasis, hemorrhages, fistula formation, and cavern tuberculosis 3. To differentiate a tuberculous lesion from lung cancer 6,7,11,12 Although clearly outside the generally accepted criteria, we chose resection as the primary treatment for our patient for the following reasons: first, the chemotherapy regimen did not include pyrazinamide because of its hepatotoxicity and the conservative treatment was proving ineffective; and second, polymerase chain reaction analysis strongly indicated an Aspergillus coinfection. Consequently, surgical resection had many benefits.…”
Section: Discussionmentioning
confidence: 99%
“…5,6 Moreover, patients with cavitary lesions have a greater chance of being resistant to antituberculosis drugs, presumably because they harbor greater numbers of mycobacteria, 7 and thus require surgical eradication. However, as the patterns of cavity lesions can critically influence the surgical results, 8 the preoperative classification of fibrocavernous pulmonary tuberculosis is important.…”
Section: Discussionmentioning
confidence: 99%