Surgical treatment of pulmonary tuberculosis in children

Keywords: tuberculosis; multiresistant tuberculosis; surgical treatment; children

Abstract

Objective. To estimate the results of surgical treatment in children, suffering pulmonary tuberculosis.

Materials and methods. The results of surgical treatment of 83 children, suffering pulmonary tuberculosis in Jan. 2008 - June 2019 yrs are presented. Immediate and late results of performance of various operative interventions, rate of tuberculosis recurrence and postoperative morbidity are presented.

Results. Efficacy of operative treatment (arrest of bacterioleak, improvement of clinical state, closure of the destruction cavity, positive roentgenological dynamics) in terms of observation up to10 yrs was observed in 81 (97.6%) patients. Postoperative complications were developed in 11 (13.3%) patients, they have healed conservatively. Tuberculosis recurrence in postoperative period have occurred in (2.4%) patients.

Conclusion. It is possible to enhance the efficacy of treatment in children, suffering pulmonary tuberculosis, using various operative procedures. While selecting the method for surgical treatment of pulmonary tuberculosis in children, the advantage must be given to anatomic resection. Lobectomy constitutes the optimal variant of the operation. During performance of resection in children, in patients with multiresistant tuberculosis or tuberculosis with extended medicinal resistance, for prevention of pulmonary overstretching it is mandatory to apply the methods for the hemithorax volume correction (pneumoperitoneum, phrenicotripsy or one of thoracoplasty procedures).

Author Biographies

M. S. Opanasenko, Yanovskyi National Institute of Phthysiatry and Pulmonology, Kyiv

Opanasenko Mykola Stepanovych - MD, Dsci(Med), Professor,
Head of the Department of Thoracic Surgery and Invasive Diagnostic Methods
Yanovsky National Institute of Phthisiology and Pulmonology,
10 Amosova str, 03038, Kyiv.
opanasenko@ifp.kiev.ua
044-275-23-88
ORCID 0000-0003-4071-2005

O. V. Tereshkovych, Yanovskyi National Institute of Phthysiatry and Pulmonology, Kyiv

Tereshkovych Olexandr Volodymyrovych - MD, PhD(Med), Senior Researcher,
Department of Thoracic Surgery and Invasive Diagnostic Methods
Yanovsky National Institute of Phthisiology and Pulmonology,
10 Amosova str, 03038, Kyiv.
tereshkovich@ukr.net
+380504457012
ORCID 0000-0002-7202-295X

M. Yu. Shamray, Yanovskyi National Institute of Phthysiatry and Pulmonology, Kyiv

Shamray Maksym Yuriyovych - MD, anesthetist,
department of anesthesiology,
Yanovsky National Institute of Phthisiology and Pulmonology,
10 Amosova str, 03038, Kyiv.
m.y.shamray@gmail.com
0678568959
ORCID 0000-0002-3997-8204

B. M. Konik, Yanovskyi National Institute of Phthysiatry and Pulmonology, Kyiv

Konik Bohdan Mykolaiovych- MD, PhD(Med),
Head of the department of surgical treatment of tuberculosis and non-specific diseases of the lungs complicated by purulent-septic infections
Yanovsky National Institute of Phthisiology and Pulmonology,
10 Amosova str, 03038, Kyiv.
ORCID 0000-0001-9226-0173

L. I. Levanda, Yanovskyi National Institute of Phthysiatry and Pulmonology, Kyiv

Levanda Larysa Ivanivna - MD,
Head of the Department of Anesthesiology,
Yanovsky National Institute of Phthisiology and Pulmonology,
10 Amosova str, 03038, Kyiv.
ORCID 0000-0002-6302-2296

M. I. Kalenichenko, Yanovskyi National Institute of Phthysiatry and Pulmonology, Kyiv

Kalenichenko Maksym Ivanovich - MD, PhD(Med),
Department of Thoracic Surgery and Invasive Methods of Diagnostics,
Yanovsky National Institute of Phthisiology and Pulmonology,
10 Amosova str, 03038, Kyiv.
ORCID 0000-0003-0417-8191

S. M. Shalahai, Yanovskyi National Institute of Phthysiatry and Pulmonology, Kyiv

Shalahai Serhii Mykhailovych - MD, PhD(Med), Researcher
Department of Thoracic Surgery and Invasive Diagnostic Methods
Yanovsky National Institute of Phthisiology and Pulmonology,
10 Amosova str, 03038, Kyiv.
ORCID 0000-0001-8265-9201

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Published
2019-10-21
How to Cite
Opanasenko, M. S., Tereshkovych, O. V., Shamray, M. Y., Konik, B. M., Levanda, L. I., Kalenichenko, M. I., Shalahai, S. M., & Obremska, O. K. (2019). Surgical treatment of pulmonary tuberculosis in children. Klinicheskaia Khirurgiia, 86(10), 18-23. https://doi.org/10.26779/2522-1396.2019.10.18
Section
General Problems of Surgery