Skip to content
2000
Volume 20, Issue 1
  • ISSN: 1573-4056
  • E-ISSN: 1875-6603
file format pdf download PDF
side by side viewer icon HTML

Abstract

Background

Chest wall tuberculosis may develop if tuberculous (TB) lesions spread through the chest wall and invade the thoracic cavity. The presence of a mass on the patient's chest wall may be the first indication of TB, and a chest CT scan can help diagnose external penetrating chest wall TB, the incursion of tuberculosis from the lungs into the chest wall.

Objective

This study examines the safety and efficacy of thoracoscopic-assisted surgery for the treatment of penetrating chest wall tuberculosis as a means of exploring novel concepts of minimally invasive surgery.

Methods

Our hospital conducted a retrospective study of 25 patients with penetrating chest wall TB who underwent thoracoscopic surgery between January 2020 and June 2021. General demographics, CT scan data linked to surgery, and postoperative patient outcomes were compared between the two groups. The data was also evaluated to determine the range of operation time and the volume of bleeding from different foci in the thoracic cavity.

Results

All procedures went well after patients took conventional antituberculosis medication for at least two weeks prior to surgery. CT scans showed that thoracoscopic surgery needed a smaller incision than traditional chest wall TB surgery, with no discernible increase in surgical time. Postoperative tube use, length of hospital stay, and blood loss were all significantly lower than they would have been with conventional surgery. In addition, thoracoscopy was associated with a significantly reduced rate of subsequent treatment. Fibrous plate development and calcification caused the longest operation times in the thoracoscopic surgery group, whereas multiple pleural tuberculomas generated the most hemorrhage. Thoracoscopic surgery usually reveals tuberculous foci hiding in the thoracic cavity.

Conclusion

Thethoracic surgery can eliminate the TB focus in the chest wall and intrathoracic while treating penetrating chest wall tuberculosis. The CT scan is a crucial part of the diagnostic process for these patients. Minor surgical trauma, low complication and recurrence rates, and good results. There is a greater distinction between the two surgical approaches for patients with penetrating chest wall TB as opposed to those with basic chest wall tuberculosis.

© 2024 The Author(s). Published by Bentham Science Publisher.
This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Loading

Article metrics loading...

/content/journals/cmir/10.2174/0115734056256971231025051729
2024-01-01
2025-11-01

  • From This Site

    /content/journals/cmir/10.2174/0115734056256971231025051729
    dcterms_title,dcterms_subject,pub_keyword
    -contentType:Contributor -contentType:Concept -contentType:Institution
    10
    5
Loading full text...

Full text loading...

/deliver/fulltext/cmir/20/1/CMIR-20-E15734056256971.html?itemId=/content/journals/cmir/10.2174/0115734056256971231025051729&mimeType=html&fmt=ahah

References

  1. Cajuste-SequeiraF. Bueno-WongJ.L. Rosas-CarrascoÓ. González-VergaraC. Bieletto-TrejoO. [Tuberculous abscess of the thoracic wall secondary to nodular tuberculosis: Atypical presentation in an older adult].Gac. Med. Mex.2017153340140528763084
     [Google Scholar]
  2. AbidH. ToujaniS. AmmarJ. MarghliA. SlimL. HantousS. AyadiA. HamzaouiA. Chest swelling with adenopathy: Don’t forget tuberculosis.Respir. Med. CME201141474910.1016/j.rmedc.2010.04.001
     [Google Scholar]
  3. TeoT.H.P. HoG.H. ChaturverdiA. KhooB.K. Tuberculosis of the chest wall: Unusual presentation as a breast lump.Singapore Med. J.2009503e97e9919352561
     [Google Scholar]
  4. HanY. ZhaoQ. YuD. LiuZ. Treatment of chest wall tuberculosis with transdermal ultrasound-mediated drug delivery.Exp. Ther. Med.2015941433143710.3892/etm.2015.221925780447
     [Google Scholar]
  5. KeumD.Y. KimJ.B. ParkC.K. Surgical treatment of a tuberculous abscess of the chest wall.Korean J. Thorac. Cardiovasc. Surg.201245317718210.5090/kjtcs.2012.45.3.17722708086
     [Google Scholar]
  6. ZhangW. HuoW. ZhangW. Effect of thoracoscopic assisted small incision debridement in the treatment of chest wall tuberculosis.Med. J. Chinese People’s Health.202133381010.3969/j.issn.1672‑0369.2021.03.004
     [Google Scholar]
  7. JiangY. LianG. ChenH. Summary of surgical treatment of 363 cases of chest wall tuberculous abscess.Lingnan Modern Clin. Sur.201515665265510.3969/j.issn.1009‑976X.2015.06.002
     [Google Scholar]
  8. ZhouL. JinH. LouM. Study on the factors of recurrence of chest wall tuberculosis with different intervention strategies.Zhongguo Yiyuan Ganranxue Zazhi2015133031303310.11816/cn.ni.2015‑141542
     [Google Scholar]
  9. KuzucuA. SoysalO. GünenH. The role of surgery in chest wall tuberculosis.Interact. Cardiovasc. Thorac. Surg.2004319910310.1016/S1569‑9293(03)00192‑017670188
     [Google Scholar]
  10. WuB. JiangL. ZhongM. Surgical treatment of chest wall tuberculosis.Chinese J. Thoracic Cardiovascu. Surg.202027101207121010.7507/1007‑4848.202001050
     [Google Scholar]
  11. LiuX. XuY. JiP. Evaluation of surgical treatment of recurrent chest wall tuberculosis.West. J. Med.201830111607161110.3969/j.issn.1672‑3511.2018.11.011
     [Google Scholar]
  12. XuJ. GuoW. ChenQ. Surgical treatment of 468 cases of chest wall tuberculosis.Zhonghua Linchuang Yishi Zazhi2012407555710.3969/j.issn.1008‑1089.2012.07.017
     [Google Scholar]
  13. BabamahmoodiF. DavoodiL. SheikholeslamiR. AhangarkaniF. Tuberculous empyema necessitatis in a 40-Year-Old immunocompetent male.Case Rep. Infect. Dis.201620161410.1155/2016/418710827555974
     [Google Scholar]
  14. SchreinerW. DudekW. SirbuH. Combined Clagett procedure, negative pressure therapy, and thoracomyoplasty for treatment of late-onset postpneumonectomy empyema necessitatis.Kardiochir. Torakochirurgia Pol.20153325926110.5114/kitp.2015.5446626702286
     [Google Scholar]
  15. AbdiA.M. MambetE. AliA.Y. A case of empyema necessitans in an adolescent with mycobacterium tuberculosis.Ann. Med. Surg.20227610354010.1016/j.amsu.2022.10354035495393
     [Google Scholar]
  16. DuJ. ZhangG. YuanW. Observation on the curative effect of modified single incision operation on external penetrating tuberculous empyema.J. Med. Forum2021124347
     [Google Scholar]
  17. LiuJ. WangM. ZhaoD. Clinical study on the best operation timing of extrapenetrating empyema.Med. Pharmaceut. J. Chinese People’s Liberat. Army.2017295646710.3969/j.issn.2095‑140X.2017.05.017
     [Google Scholar]
  18. LiuJ ZhaoD WangM Clinical effect of small thoracic incision lesion clearance in the treatment of perforated empyema.Chinese J PLA Med2017292636510.3969/j.issn.2095‑140X.2017.02.016
     [Google Scholar]
  19. FengX. ZhaoR. DuB. Analysis of 23 cases of localized encapsulated empyema without thoracotomy.Chinese J. Med. Innov.201291910010110.3969/j.issn.1674‑4985.2012.19.060
     [Google Scholar]
  20. HanK. Experience in surgical treatment of chest wall tuberculosis complicated with pleurisy.J. Jilin Med. College.201604280281
     [Google Scholar]
  21. LiuW. ZuoT. NiZ. Application value of thoracoscopy in the treatment of chest wall tuberculosis.J. Clin. Pulmonol.201520101916191810.3969/j.issn.1009‑6663.2015.10.055
     [Google Scholar]
  22. XuN. TangL. ZhuF. Clinical effect analysis of video-assisted thoracoscopic surgery for tuberculous pyothorax.Chinese J. Tubercul.201739545946310.3969/j.issn.1000‑6621.2017.05.009
     [Google Scholar]
  23. SünnetciK.M. AlkanA. Lung cancer detection by using probabilistic majority voting and optimization techniques.Int. J. Imaging Syst. Technol.20223262049206510.1002/ima.22769
     [Google Scholar]
/content/journals/cmir/10.2174/0115734056256971231025051729
Loading
Computer Tomography (CT)-Based Study to Investigate Feasibility and Efficacy of Thoracoscopic Surgery in the Treatment of Penetrating Chest Wall Tuberculosis
Curr. Med. Imaging 20, e15734056256971 (2024); https://doi.org/10.2174/0115734056256971231025051729
/content/journals/cmir/10.2174/0115734056256971231025051729
/content/journals/cmir/10.2174/0115734056256971231025051729
Loading

Data & Media loading...


  • Article Type:     Research Article
Keyword(s): Antituberculosis medication; Computer tomography (CT); Penetrating chest wall tuberculosis; Thoracic cavity; Thoracoscopic surgery; Treatment effect

Most Cited Most Cited RSS feed

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error
Please enter a valid_number test