[Pneumonectomy in disseminated fibrous-cavernous tuberculosis]

The paper analyzes the outcomes of pulmonectomy in 60 patients for fibrous-cavernous tuberculosis in the presence of a destructive process in the contralateral lung. It covers the clinical picture, diagnosis, and preoperative treatment policy. The destructive process in the contralateral lung was limited to 1-2 segments in the upper lobe of the lung. Pulmonectomy yielded a good clinical effect in 45 (75.0%) patients, the mortality was 6.6% (n = 4). Despite a high surgical risk, pulmonectomy in this cohort of patients was quite justifiable and a highly effective treatment.