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Video thoracoscopic surgery used to manage tuberculosis in thoracic surgery

Beshay, M. ; Dorn, P. ; Kuester, J. ; Carboni, G. ; Gugger, M. ; Schmid, R.

In: Surgical Endoscopy And Other Interventional Techniques, 2005, vol. 19, no. 10, p. 1341-1344

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    Titre
    • Video thoracoscopic surgery used to manage tuberculosis in thoracic surgery
    Auteur
    • Beshay, M.. Division of General Thoracic Surgery, University Hospital Berne, 3010, Berne, Switzerland
    • Dorn, P.. Division of General Thoracic Surgery, University Hospital Berne, 3010, Berne, Switzerland
    • Kuester, J.. Division of General Thoracic Surgery, University Hospital Berne, 3010, Berne, Switzerland
    • Carboni, G.. Division of General Thoracic Surgery, University Hospital Berne, 3010, Berne, Switzerland
    • Gugger, M.. Institute of Pathology, University Hospital Berne, 3010, Berne, Switzerland
    • Schmid, R.. Division of General Thoracic Surgery, University Hospital Berne, 3010, Berne, Switzerland
    Type de document
    • Postprint
    Langue
    • Inglese
    Publié dans
    • Surgical Endoscopy And Other Interventional Techniques, 2005, vol. 19, no. 10, p. 1341-1344. Springer-Verlag; www.springer-ny.com
    Autre version électronique
    Identifiant OAI-PMH
    • oai:doc.rero.ch:316286
    Summary
    Background: The aim of this study was to evaluate the indications and results of video-assisted thoracic surgery (VATS) for the management of tuberculosis in 10 patients with unusual clinical and radiologic presentation for the disease. Methods: From March 2000 to March 2002, 96 diagnostic VATS operations for unclear thoracic lesions were performed at the authors' institution. Their final diagnosis for 10 (10.4%) of these patients was tuberculosis. The suspected preoperative diagnoses were pancoast tumour (n = 1), pericardial effusion (n = 1), pleural mesothelioma (n = 1), pleural empyema (n = 2), mediastinal lymphoma (n = l), and lung cancer (n = 4). Results: For all the patients, the diagnosis of tuberculosis was achieved by VATS. The duration of drainage was 2.5 days. There have been neither morbidity nor mortality since surgery. The hospital stay was 3 to 5 days. Conclusion: Thoracoscopy is a safe and effective procedure for the management of tuberculosis. Tuberculosis should be kept in mind during the differential diagnosis of unknown thoracic lesions, and also for patients who live in economically well developed countries and are not immune compromised