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Ann Thorac Surg 1997;63:1372-1373
© 1997 The Society of Thoracic Surgeons

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Discussion

Discussion

The first 20% of the full text of this article appears below.

See also page 1368.

DR MARVIN POMERANTZ (Denver, CO): I congratulate Dr De Groot and his associates for this fine paper.

We have operated on 148 patients with MDR-TB. Our patients are not robust. Most of them have been on hyperalimentation and they are approximately 10 years olders than Dr De Groot's patients.

We obtain computed tomographic scans of all of our patients and perfusion scans of most. If pulmonary functions are good and there is only 15% remaining on the side to undergo lobectomy, a pneumonectomy will be performed to produce a cleaner operation.

Our operative approach is similar, with a serratus-sparing incision, and an extrapleural dissection when necessary. Eighty percent of Dr De Groot's pneumonectomies were left-sided. In our series 70% are left-sided. There is a definite predilection for left lung destruction with Mycobacterium tuberculosis.

We differ on the length of postoperative drug therapy. Doctor De Groot employs 8 months of postoperative therapy, whereas we continue drug therapy for 18 to 24 . . . [Full Text of this Article]

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Pulmonary Resection as an Adjunct in the Treatment of Multiple Drug-Resistant Tuberculosis

Marc Van Leuven, Mark De Groot, Karen P. Shean, Ulrich O. Von Oppell, and Paul A. Willcox
Ann. Thorac. Surg. 1997 63: 1368-1372. [Abstract] [Full Text]