Skip to main content

Advertisement

SpringerLink
Log in

Video thoracoscopic surgery used to manage tuberculosis in thoracic surgery

  • Original article
  • Published:
Surgical Endoscopy And Other Interventional Techniques Aims and scope Submit manuscript

Abstract

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Figure 1
Fig.2
Figure 3
Figure 4

Similar content being viewed by others

References

  1. Cruise FR (1865) The endoscope as an aid to the diagnosis and treatment of disease. Br Med J 8: 345–347

    Google Scholar 

  2. Frieden TR, Sterling T, Pablos-Mendez A, Kilburn JO, Cauthen GM, Dooley SW (1993) The emergence of drug resistance in New York City. N Engl. J Med 328: 521–526

    Article  PubMed  Google Scholar 

  3. Jacobaeus HC (1911) Kurze Uebersicht über meine Erfahrungen mit der Laparo-Thorakoskopie. Münchn Med Wochenschr 58: 2017–2019

    Google Scholar 

  4. Jacobaeus HC (1910) Ueber die Möglichkeit die Zystoskopie bei untersuchung seröser höhlungen anzuwenden. München Med Wochenschr 57: 2090–2092

    Google Scholar 

  5. Jacobaeus HC (1912) Ueber Laparo-und Thorakoskopie. Beitr Klein Tuberk 25: 185–186

    Article  Google Scholar 

  6. Larousse P (1876) Grand dictionnaire universel, vol. 15. Paris : Administration du Grand Dictionnaire Universel, p 154

    Google Scholar 

  7. Lau SK, Wie WI, Hsu C, Engzell UCG (1990) Efficacy of fine-needle aspiration cytology in the diagnosis of tuberculous cervical lymphadenopathy. J Laryngol Otol 104: 24–27

    PubMed  Google Scholar 

  8. Long R, Maycher B, Scalcini M, Manfreda J (1991) The chest roentgenogram in pulmonary tuberculosis patients seropositive for HIV type 1. Chest 99: 123–127

    PubMed  Google Scholar 

  9. Mack MJ, Hazelrigg SR, Landreneau RJ, Acuff TE (1993) Thoracoscopy for the diagnosis of the indeterminate solitary pulmonary nodule. Ann Thorac Surg 56: 825–832

    PubMed  Google Scholar 

  10. Meduri UG, Stein DS (1992) Pulmonary manifestations of acquired immunodeficiency syndrome. Clin Infect Dis 14: 98–113

    PubMed  Google Scholar 

  11. Narian JP, Raviglone MC, Kochi A (1992) HIV-associated tuberculosis in developing countries: epidemiology and strategies for prevention. Geneva, Switzerland: World Health Organization, WHO/TB92.164

    Google Scholar 

  12. Reed CE, Parker EF, Crawford FA (1989) Surgical resection for complications of pulmonary tuberculosis. Ann Thorac Surg 48: 165–167

    PubMed  Google Scholar 

  13. Selwyn PA, Sckell BM, Alcabes P, Friedland GH, Klein RS, Schoenbaum EE (1992) High risk of active tuberculosis in HIV-infected drug users with cutaneous energy. JAMA 268: 504–509

    Article  PubMed  Google Scholar 

  14. Sharif HS, Morgan JL, Al Shahied MS (1995) The role of CT and MR imaging in the management of tuberculous spondylitis. Radiol Clin North Am 33: 787–804

    PubMed  Google Scholar 

  15. Treasure RL, Seaworth BJ (1995) Current role of surgery in mycobacterium tuberculosis. Ann Thorac Surg 59: 1405–1408

    Article  PubMed  Google Scholar 

  16. Whyte RI, Geegan SP, Kaplan DK, Evans CC, Donnelly RJ (1989) Recent surgical experience for pulmonary tuberculosis. Respir Med 83: 357–362

    PubMed  Google Scholar 

  17. Yim APC (1996) The role of video-assisted thoracoscopic surgery in the managemnt of pulmonary tuberculosis. Chest 110: 829–832

    PubMed  Google Scholar 

  18. Yim APC, Mohammad BI, Tak WL (1999) Thoracoscopic surgery for pulmonary tuberculosis. World J. Surg 23: 1114–1117

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Division of General Thoracic Surgery, University Hospital Berne, Berne, 3010, Switzerland

    M. Beshay, P. Dorn, J. R. Kuester, G. L. Carboni & R. A. Schmid

  2. Institute of Pathology, University Hospital Berne, Berne, 3010, Switzerland

    M. Gugger

Authors
  1. M. Beshay
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. P. Dorn
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. J. R. Kuester
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. G. L. Carboni
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. M. Gugger
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. R. A. Schmid
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to R. A. Schmid.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Beshay, M., Dorn, P., Kuester, J.R. et al. Video thoracoscopic surgery used to manage tuberculosis in thoracic surgery. Surg Endosc 19, 1341–1344 (2005). https://doi.org/10.1007/s00464-004-2130-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00464-004-2130-6

Keywords

Search

Navigation