[Surgical collapse in the treatment of single lung tuberculosis]. / Kollapsokhirurgicheskie operatsii v lechenii destruktivnogo tuberkuleza edinstvennogo legkogo.

OBJECTIVE: To improve the treatment of destructive tuberculosis of a single lung by using of collapse surgery. MATERIAL AND METHODS: The authors analyzed an experience of collapse surgery for destructive tuberculosis of a single lung. RESULTS: Collapse surgery was effective in 77.5% of patients. CONCLUSION: Endoscopic surgical collapse improves the outcomes in patients with destructive tuberculosis of a single lung and expands the possibilities for surgery in these patients when resection is not applicable.

[An experience of single lung resection and pneumonectomy after contralateral lung resection in treatment of tuberculosis].

AIM: To improve the efficiency of treatment of single lung destructive tuberculosis. MATERIAL AND METHODS: 15-year experience of operations for destructive tuberculosis performed by the same surgeon including 18 resections of the single lung and 19 pneumonectomies after previous partial lung resection is presented in the article. RESULTS: Surgical management of patients with destructive tuberculosis of single lung provides positive results in more than 90% of cases. However the frequency of its application is still low according to literature data. In case of destructive tuberculosis of single lung partial resection is more frequently indicated if fibrous-cavernous tuberculosis of the upper lung (up to 4 damaged segments), persistent bacterial excretion on the background of adequate chemotherapy and pathogen's drug resistance are present.