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Updated: Aug 20, 2026

A Retrospective Study on Endoscopic Surgery for the Treatment of Paravertebral Abscess in Spinal Tuberculosis Patients
Published on: October 25, 2024
[Surgical treatment of pulmonary tuberculosis]
1Department of Chest Surgery, Fukujuji Hospital, Japan Anti-Tuberculosis Association, Tokyo, Japan.
Abstract:
The indications for the surgical treatment of pulmonary tuberculosis are mainly for multidrug-resistant tuberculosis (MDR-Tb). In Fukujuji Hospital there have been 91 pulmonary resections for 83 MDR-Tb cases during the past 20 years. Of those resections, upper lobectomies with or without partial resection of other lobes comprised 55%, segmentectomies 10%, and pneumonectomies 30%. The following major postoperative complications occurred: prolonged air leakages in 19%, empyema in 9%, and respiratory failure in 6%. However, there were no operative deaths. After pulmonary resection for MDR-Tb, immediate negative conversion rate of expectoration of tuberculous bacilli was 98%, reexpectoration rate of them was 12%, The final cure rate was 92%. Surgical treatment is worth consideration for the treatment of refractory pulmonary tuberculosis.
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