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Video-assisted thoracoplasty in pulmonary tuberculosis: a retrospective study

  
@article{JTD34335,
	author = {Dmitry B. Giller and Boris D. Giller and Galina V. Giller and Galina V. Scherbakova and Vadim V. Koroev and Oleg Sh. Kesaev and Yakub G. Imagozhev and Aleksey A. Glotov},
	title = {Video-assisted thoracoplasty in pulmonary tuberculosis: a retrospective study},
	journal = {Journal of Thoracic Disease},
	volume = {12},
	number = {3},
	year = {2019},
	keywords = {},
	abstract = {Background: The long history of the struggle against tuberculosis (TB) inspired us to develop a new minimally invasive technique of thoracoplasty with videothoracoscope control (VATP). The aim of this study was to determine its efficacy.
Methods: We conducted a retrospective single-center study of a cohort of patients operated on between 1999 and 2017. Two hundred eight patients who were indicated for thoracoplasty with verified TB with cavities in the upper lobe/S6 were enrolled in this study. Treatment outcomes were assessed based on Laserson criteria and active TB absence verified with CT.
Results: Intraoperative and postoperative complications were observed in 15 (7.2%) and 4 (2.0%) cases, respectively. There were no 30-day mortalities. VATP with curative intent succeeded in 88% of cases according to Laserson criteria and active TB absence verified with computed tomography (CT). Clinical improvement (sputum negativity, closure of caverna, and lack of reactivation for 3 years) was achieved in 81% of cases.
Conclusions: Comparing the successful results of this technique in the cohort of multidrug-resistant (MDR) TB patients with the outcomes of treatment of MDR TB worldwide (77% vs. 55%, respectively), the VATP technique is shown to be efficacious and thus recommended.
Clinical trial registry number: ISRCTN67743278.},
	issn = {2077-6624},	url = {http://jtd.amegroups.com/article/view/34335}
}