[Lung resection in tuberculosis in diabetics]

Area of Science:

• Pulmonology
• Endocrinology
• Surgical Oncology

Context:

• Co-occurrence of pulmonary tuberculosis and diabetes mellitus presents unique treatment challenges.
• Surgical intervention in these patients requires careful management of both chronic conditions.
• Climatic sanatorium settings offer a specialized environment for managing complex respiratory and metabolic diseases.

Purpose:

• To present the outcomes of surgical treatment for 201 patients with pulmonary tuberculosis and diabetes mellitus.
• To describe the preoperative and postoperative management protocols for diabetes mellitus in this patient cohort.
• To evaluate the efficacy of combined B-insulin and simple insulin therapy for glycemic control.

Summary:

• Surgical treatment was performed on 201 cases of pulmonary tuberculosis comorbid with diabetes mellitus.
• Operations included bilateral lung resection in 8 patients, conducted during compensated diabetes mellitus and stabilized tuberculosis.
• A specific method for managing diabetes mellitus, utilizing B-insulin and simple insulin, was applied pre- and post-operatively.

Impact:

• Demonstrates the feasibility and success of surgical intervention for pulmonary tuberculosis in diabetic patients.
• Highlights the importance of optimized glycemic control for surgical outcomes in this population.
• Provides a valuable clinical approach for managing comorbid tuberculosis and diabetes mellitus, potentially improving patient prognosis.