Surgical treatment of tuberculous empyema

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

1st International Congress of Thorax Surgery, Athens, Greece, 1 - 08 July 1997, pp.495-499 identifier identifier identifier

  • Publication Type: Conference Paper / Full Text
  • Doi Number: 10.1016/j.athoracsur.2017.06.038
  • City: Athens
  • Country: Greece
  • Page Numbers: pp.495-499
  • Bezmialem Vakıf University Affiliated: No


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.