Surgical intervention for XXXX : analysis of indications and perioperative data relating to diagnostic and therapeutic resections.

@entity1 @entity6551 @entity5 @entity75 @entity260 @entity6675 @entity292 @entity86 @entity378 @entity204 @entity1907
OBJECTIVE: To analyze the data on @entity1 operated on for @entity1907 ( @entity378 ) with (Group I) or without (Group II) a correct @entity378 diagnosis and preoperative anti- @entity378 treatment. METHODS: Between 1980 and 1997, 144 resections for @entity378 (Groups I+II) were performed. The 80 @entity1 in Group I underwent therapeutic resections: 32 cases involved recurrent @entity6675 or @entity6551 , three involved post- @entity378 bronchiectasis, 13 involved progression of @entity6675 or @entity6551 , and 32 involved persistent @entity6551 after 6 months of anti- @entity378 therapy. The 64 @entity1 in Group II were operated on for a suspicion of @entity5 in 49 cases, for cavitary lesions with haemophthysis in six cases, for @entity75 in seven cases, and for recurrent hydrothorax in two cases. RESULTS: Groups I and II included 0 and five pneumonectomies, 32 and 29 lobectomies, 48 and 20 wedge resections, 0 and nine videothoracoscopic biopsies, and 0 and one hilar lymphadenectomy, respectively. In Groups I and II, the mean duration of postoperative hospitalization was 13.2 and 10.4 days, and the frequency of @entity86 was 11.25 and 4.6%, respectively. The incidence of @entity292 was 1.25 and 0%, the mortality was 0 and 3.1%, and the morbidity was 53.7 and 35.9% in Groups I and II, respectively. Two @entity1 with active disease died in Group II. Pathology demonstrated that the frequency of acid-fast bacilli in Groups I and II was 40 and 25%, respectively. CONCLUSIONS: @entity1 without a correct preoperative @entity378 diagnosis underwent more extensive parenchyma resection. @entity260 increased when acid-fast bacilli were present. The lack of preoperative anti- @entity378 treatment did not involve a higher risk of minor complications, but @entity204 occurred only in this group.
