Surgical treatment of combination of tuberculosis and pulmonary echinococcosis
Abstract
Results of surgical treatment of combination of TB and pulmonary echinococcosis were studied in 19 patients (males-11, females - 8) in ages 7-49 years old. Fibrous-cavernous TB was diagnosed in 4, infiltrative with lysis in 3, tuberculoma in 8, focal in 3, TB of intrathoracic lymph nodes in 1. In 9 patients echinococcus cysts located within the zone of tubercular affect, in 10 in other lobes of lung, in 9 on the right, in 10 on the left. Cyst dimensions were 2 to 9 cm in diameter. In 4 with location of echinococcus cyst in the zone of tubercular affect were operated - segmental resection was performed in 1, lobectomy in 2, lobectomy and pleurectomy in 1. In 7 who had TB and echinococcus cyst in different lobes of lung, single-stage segmental resection and echinococcectomy was performed in 5, lobectomy and echinococcectomy in 1, combined resection and echinococcectomy in 1. After effective chemotherapy and repair of pulmonary destruction, an organ-saving operation - echinococcectomy was performed in 8 patients with firstly diagnosed fibrous-cavernous tuberculosis (1), infiltrative (3), focal (3), intrathoracic lymph node tuberculosis (1) and pulmonary TB. Good clinical effect was established in all 19 operated patients. Conclusion: Partial resections are surgical indication at TB and echinococcosis both located in one lobe of lung, in different lung lobes – partial resection on account of TB and echinococcectomy are the surgical indication. At firstly found TB and echinococcus cyst, an organ-saving operation – echinococcectomy is necessary after effective chemotherapy and repair of pulmonary destruction. These operations are highly effective and heal patients from TB and pulmonary echinococcosis.