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Cardiothoracic Surgery: Cardiothoracic |

Qualitative Study of a Patient Classification System (LTB-S) Indicating Suitability for Surgical Resection in Pulmonary Tuberculosis FREE TO VIEW

Fan Xia, PhD; Chen Hui, MD; Pei Wang, MD; YiJun Zhu, MD; Heping Xiao, MD; Shuihua Lu, MD; Lowrie Douglas B., PhD; Wang Xu, MD; Dai Xiyong, MD; Yanzheng Song, MD; Qiang Li, MD
Author and Funding Information

Changhai Hospital Affiliated to the Second Military Medical University, Shanghai, China


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;149(4_S):A55. doi:10.1016/j.chest.2016.02.058
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SESSION TITLE: Cardiothoracic

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Saturday, April 16, 2016 at 11:45 AM - 12:45 PM

PURPOSE: To set up a simple and practical classification system for identifying pulmonary tuberculosis (PTB) patients who will benefit most from adjunctive surgical therapy.

METHODS: We set up a classification system (LTB-S), based on lesions(L), time of treatment(T), body condition(B) and symptom/sign(S) of candidates. In this observational study, 35 PTB patients, including multi drug-resistant tuberculosis (MDR-TB) and extensively drug resistant tuberculosis (XDR-TB), voluntarily underwent analysis and classification into three types: Type I (absolute surgical indication), Type II (relative indication) and Type III (contraindication). The occurrence of postoperative complication was used to assess the value of the classification.

RESULTS: Among 35 patients, there were 12 Type I, 23 Type II and 2 Type III patients according to the LTB-S classification. Postoperative complications included bronchopleural fistula in 2 patients, contralateral pulmonary dissemination of tuberculosis in 2 patients and massive bleeding in 1 patient. Operation-related complications were not seen in Type I patients, but occurred in both (100%) of the Type III patients. Patients were followed up for between 10 and 120 months after surgery. There was no relapse except for both patients of Type III.

CONCLUSIONS: The study showed the potential value of the LTB-S classification system, which is an objective judgment strategy for surgical treatment of TB. Additional prospective studies with more patients are needed to further validate this system.

CLINICAL IMPLICATIONS: The LTB-S classification system is helpful to objectively select those pulmonary tuberculosis patients who may benefit most from adjunctive surgical treatment.

DISCLOSURE: The following authors have nothing to disclose: Fan Xia, Chen Hui, Pei Wang, YiJun Zhu, Heping Xiao, Shuihua Lu, Lowrie Douglas B., Wang Xu, Dai Xiyong, Yanzheng Song, Qiang Li

No Product/Research Disclosure Information


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