Surgical treatment of tuberculous empyema


TOPÇU S., Soysal O. , TASTEPE i., DEMIRCAN S., Ozdulger A., GÜLHAN E., ...Daha Fazla

1st International Congress of Thorax Surgery, Athens, Yunanistan, 1 - 08 Temmuz 1997, ss.495-499 identifier identifier identifier

Özet

The charts of the patients underwent surgical treatment were reviewed to determine the role and the results of surgery in patients with tuberculous empyema. Two hundred eighty-two operations were performed in 222 patients. Indications of surgery were pleural thickenning in 95 (33,7%) operations, to close a pleural space in 92 (32,6%), destroyed lung plus empyema in 35 (12,4%) and revision of the first operation in 60 (21,3%) operations. Operations performed were thoracomyoplasty in 149 (52,8%), decortication in 95 (33,8%), decortication and pulmonary resection in 17 (6,0%), pneumonectomy in 10 (3,6%), decortication and thoracomyoplasty in eight (2,8%) and Eloesser flap in three (1,0%) operations. Morbidity occurred in 44,3% of the patients and operative mortality was 7,2%. Pulmonary tuberculosis and sequels of it determine the success of the operation in tuberculous empyema. Anti-tuberculous medication may be given for more than two months before the operation.