STAGING PLEUROPNEUMONECTOMY IN A PATIENT WITH PROGRESSIVE COMPLICATED FIBROUS-CAVERNOUS LUNG TUBERCULOSIS

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Issue: 
2
Year: 
2016

M. Bagirov, MD; K. Tokaev, MD; S. Sadovnikova, MD; T. Tokaev; E. Krasnikova, Candidate of Medical Sciences; A. Ibruev; V. Aliev Central Research Institute of Tubrculosis, Moscow

The treatment of patients with progressive disseminated fibrous-cavernous tuberculosis complicated by pyopneumothorax and pleural empyema with bronchial fistula is one of the most difficult problems of lung surgery. The specific features of this patient group are obvious respiratory dysfunctions, cardiopulmonary failure, which do not allow a radical interaction to be performed simultaneously. This clinical example demonstrates the efficiency of staging surgical tactics on the ipsilateral side of main lesion and further pleuropneumonectomy.
Keywords: 
fibrous-cavernous tuberculosis
surgical treatment
transsternal occlusion of the main bronchus
bronchial fistula
pleural pneumonia
staging pleuropneumonectomy

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