Case of Video-Assisted Thoracoplasty Application in Pulmonary Tuberculosis Treatment

Publication date: Available online 22 June 2019Source: The Annals of Thoracic SurgeryAuthor(s): Dmitry B. Giller, Galina V. Giller, Boris D. Giller, Alexander V. Papkov, Galina V. Scherbakova, Vadim V. Koroev, Oleg Sh. KesaevAbstractA patient with extensive fibro-cavitary pulmonary tuberculosis (TB) and extensively drug-resistant (XDR) Mycobacterium tuberculosis (MTB) underwent bilateral VATS thoracoplasty. An examination four years post-surgery revealed that the patient was in a satisfactory condition and able-bodied.We performed surgery according to our proposed VATS thoracoplasty technique. In the postoperative period, we noted early patient symptoms, including significantly less pronounced pain than with standard incisions, the absence of limitations in upper limb mobility, and the absence of gross chest deformation. Permanent surgical collapse sufficient for closing cavities and the elimination of bacilli were achieved and confirmed with a CT scan.
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research