Thoracoplasty for Tuberculosis in the Twenty-first Century

Denis Krasnov; Vladimir Krasnov; Dmitry Skvortsov; Irina Felker

doi:10.1016/j.thorsurg.2017.01.003

Thoracoplasty for Tuberculosis in the Twenty-first Century

Thorac Surg Clin. 2017 May;27(2):99-111. doi: 10.1016/j.thorsurg.2017.01.003. Epub 2017 Mar 2.

Authors

Denis Krasnov¹, Vladimir Krasnov², Dmitry Skvortsov², Irina Felker²

Affiliations

¹ Novosibirsk Tuberculosis Research Institute, Federal State Budgetary Institution, Okhotskaya Street 81a, Novosibirsk 630040, Russian Federation. Electronic address: krasnov77@bk.ru.
² Novosibirsk Tuberculosis Research Institute, Federal State Budgetary Institution, Okhotskaya Street 81a, Novosibirsk 630040, Russian Federation.

PMID: 28363378
DOI: 10.1016/j.thorsurg.2017.01.003

Abstract

A new modification of osteoplastic collapse thoracoplasty performed with a minimally invasive approach has been proposed. This operation is a variant of extrapleural thoracoplasty used in the treatment of destructive tuberculosis. The benefits of the proposed method, the surgical techniques, and the results of the authors' research are described. Compared with the conventional variant of osteoplastic thoracoplasty, the rates of bacteriologic conversion (odds ratio [OR], 1.84; 95% confidence interval [CI], 1.72-1.97) and of the closure of cavities (OR, 2.13; 95% CI, 1.98-2.28) have been proved to be higher when the operation is performed with a minimally invasive approach.

Keywords: Extrapleural thoracoplasty; MDR TB; Pulmonary tuberculosis; XDTR TB.

Publication types

Case Reports
Review

MeSH terms

Adult
Contraindications
Humans
Male
Minimally Invasive Surgical Procedures / methods*
Postoperative Complications
Thoracoplasty / methods*
Tuberculosis, Pulmonary / surgery*