The analysis of the outcomes of a surgical treatment of recurrent tuberculosis in the operated lung is presented. With disseminated forms of the pulmonary lesions complicated by empyema, surgical removal of the portion remained after the primary resection is indicated. A complex of measures improving the treatment efficacy, decreasing a surgical risk and providing a favourable outcome in 90% of the operated patients is given. The indications for such repeated operations, such as final pneumonectomy, are substantiated.
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J Cardiothorac Surg
January 2025
Section of Cardiothoracic Surgery, Department of Heart Disease, Haukeland University Hospital, Jonas Lies vei 65, 5021, Bergen, Norway.
Background: A broncho-esophageal fistula (BEF) is a medical and surgical disaster. Treatment of BEF is often limited to palliative stent treatment that may migrate or cause erosions and tissue necrosis. Surgical repair of BEF is the only established definite treatment.
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December 2024
Department of Thoracic Surgery, University Hospital Zurich, Raemistrasse 100, 8091, Zurich, Switzerland.
Treatment of postpneumonectomy empyema remains challenging, especially in presence of bronchopleural fistula. We analysed clinical outcome data of patients with and without bronchopleural fistula undergoing an accelerated empyema treatment concept. From November 2005 to July 2020, all patients with postpneumonectomy empyema were included.
View Article and Find Full Text PDFKhirurgiia (Mosk)
December 2024
Petrovsky National Research Center of Surgery, Moscow, Russia.
Objective: To evaluate the results of treatment of postoperative complications in one surgical center over 10 years.
Material And Methods: There were 100 patients with intrapleural complications and indications for surgical correction after various cardiothoracic interventions between 2013 and 2023.
Results: Mortality after thoracoscopic surgeries for cardiothoracic complications was 5%.
J UOEH
December 2024
Department of Respiratory Medicine, Iizuka Hospital, Japan.
A 78-year-old male who was undergoing treatment for diabetes was referred to our department after a chest X-ray revealed an abnormal shadow in the left upper lung field. A chest contrast-enhanced CT showed a tumor in the left upper lobe and a cystic lesion in the left lower lobe. Two aberrant arteries branching from the aorta were identified near the cyst.
View Article and Find Full Text PDFPediatr Blood Cancer
November 2024
Department of Pediatric Surgery, Nationwide Children's Hospital, Toledo, Ohio, USA.
Implications of repeated resections of pulmonary metastasis (PM) are not well documented in the modern era. Fifteen children underwent two (n = 8), three (n = 3), or four or more (n = 3) resections (total = 38 procedures), most commonly for osteosarcoma (71%). Operative approach included muscle-sparing thoracotomy (71%), non-muscle-sparing thoracotomy (18%), and video-assisted thoracoscopy (11%).
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