[Surgical treatment of pulmonary tuberculosis: experience and prospects]

The author's experience accumulated over 40 years shows that two major forms of surgical pulmonary tuberculosis (restrictive and disseminated) should be distinguished. The treatment of the former patients is highly effective and safe. To treat patients with progressive disseminated tuberculosis, especially in those who isolate Mycobacteria resistant to previously used drugs is difficult and expensive, which requires non only new generation antituberculous drugs, but comprehensive complex preparation for surgery. The author prefers collapse surgical interventions, but, if necessary, resorts even to pulmonectomy and application of an artificial pneumothorax contralaterally. Lobectomy is a major type of resection of the lung. Thus, surgery as a constituent of ensures recovery (stabilization of the process) in the most critically ill patients with pulmonary tuberculosis.