Sublobectomy is a safe alternative for localized cavitary pulmonary tuberculosis

• Main Authors: Yong Yang, Shaojun Zhang, Zhengwei Dong, Yong Xu, Xuefei Hu, Gening Jiang, Lin Fan, Liang Duan
• Format: Article
• Language: English
• Published: BMC 2021-03-01
• Series: Journal of Cardiothoracic Surgery
• Subjects: Pulmonary tuberculosis; Cavity; Lobectomy; Sublobectomy; Complication; Prognosis
• Online Access: https://doi.org/10.1186/s13019-021-01401-5

Abstract Objective Surgical resection plays an essential role in the treatment of Pulmonary Tuberculosis (PTB). There are few reports comparing lobectomy and sublobectomy for pulmonary TB with cavity. To compare the advantages between lobectomy and sublobectomy for localized cavitory PTB, we performed a single-institution cross sectional cohort study of the surgical patients. Methods We consecutively included 203 patients undergoing lobectomy or sublobectomy surgery for localized cavitary PTB. All patients were followed up, recorded and compared their surgical complication, outcome and associated characteristics. Results Both groups had similar outcomes after follow up for 13.1 ± 12.1 months, however, sublobectomy group suffered fewer intraoperative blood losses, shorter length of stay, and fewer operative complications than lobectomy group (P <  0.05). Both groups obtained satisfactory outcome with postoperatively medicated for similar period of time and few relapse (P > 0.05). Conclusion Both sublobectomy and lobectomy resection were effective ways for cavitary PTB with surgical indications. If adequate anti-TB chemotherapy had been guaranteed, sublobectomy is able to be recommended due to more lung parenchyma retain, faster recover, and fewer postoperative complications.