ARTIFICIAL PNEUMOPERITONEUM IN DESTRUCTIVE PULMONARY TUBERCULOSIS AS AN ADJUNCT TO PULMONARY SURGERY

Objective: To evaluate the effectiveness of artificial pneumoperitoneum (APP) during the perioperative period in patients with destructive pulmonary tuberculosis (PT) who require pneumonectomy (PE) with anterior mediastinal plasty (AMP). Methods: A cross-sectional prospective-retrospective study included 93 patients with widespread destructive PT who underwent surgical treatment involving PE with AMP. The patients were divided into two groups. The main group consisted of 34 patients who were treated by APP before and after the PE with AMP. In contrast, the control group included 59 patients who underwent PE with AMP without any APP treatment. Results: Two months after PE with AMP in a single lung, positive radiographic outcomes were observed in 94% (32/34) of patients, compared to 75% (44/59) in the control group (p=0.019). In the late period (6 months) after the operation, positive outcomes were 96% (27/28) and 81% (44/54), respectively (p>0.05). Conclusion: The radiological data obtained indicate the effectiveness of APP in the perioperative period for patients who underwent PE with AMP. Keywords: Pulmonary tuberculosis, pneumonectomy, pneumoperitoneum, anterior mediastinal plasty.