[Surgical treatment for postoperative recurrent pulmonary tuberculosis]

The long-term results of 1311 primary resections for pulmonary tuberculosis and 203 repeated interventions for postoperative recurrences were studied. During a 10-year follow-up, the cumulative rate of postoperative recurrences was 18.4%, the minimum (5.7%) being in the operated on for tuberculosis, the maximum in cavernous tuberculosis (27.9%) and caseous pneumonia (40%). 58% of recurrent tuberculosis occur within the first 3 years after surgery, the efficiency of their medical treatment does not exceed 30%, indications for resurgery are established at the same rate. Repeated lung resections, final pneumonectomies were performed in 72.8% of the patients with the immediate efficiency of 87.5-86.2% and mortality rates of 6.2-12.1%. Caverno- and thoracoplasties were made in 27.2% of the patients. The efficiency of these deliberately nonradical operations was 83.3-55.5%.