Cirugía pulmonar en tuberculosis

• Macarena Rodríguez ^[1] ; José Manuel Munita ^[1] ; Daniel Pérez ; Felipe Bannura ^[2] ; Juan Carlos Rodríguez ^[3] ; Patricio Rodríguez ^[2]
  1. [1] Hospital Padre Hurtado

     Hospital Padre Hurtado

     Santiago, Chile

     
  2. [2] Hospital INER y CT Servicio de Cirugía
  3. [3] Hospital INER y CT Servicio de Medicina

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• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 137, Nº. 2, 2009, págs. 234-239
• Idioma: español
• Títulos paralelos:
  • Surgery for pulmonary tuberculosis. Review of 33 operated patients
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• Resumen

  • Background: Surgical treatment for pulmonary tuberculosis is mainly ¡imited to the management of sequelae such as bronchiectasis, hemoptysis and brochopleural fistulae. Aim: To review the data of patients who underwent surgical treatment for pulmonary tuberculosis. Material and methods: Retrospective review of 33 patients aged 18 to 73 years (24 males) who underwent lung resection surgery for the management of pulmonary tuberculosis. Follow-up data were obtained from outpatient visit records and registries of the national tuberculosis program. Results: The reasons to perform surgery were the following: fifteen for hemoptysis, nine for lung destruction and nine for an active and multiresistant disease. No patient died in the postoperative period. The morbidity observed included empyema (n =5), pneumothorax (n =2), bronchopleural fístula (n =2) and hemothorax (n =2). At six months offollow up, six of the nine patients with active tuberculosis had negative acid-fast bacilli on sputum smear. Two of these patients died, one due to respiratory failure and another by an unrelated cause. Both dead patients had negative acid-fast bacilli on sputum smear. Conclusions: Surgery in pulmonary tuberculosis has a high rate of complications butmay be usefulin selectedpatients.