{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,1,12]],"date-time":"2024-01-12T00:03:03Z","timestamp":1705017783019},"reference-count":0,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[1997,6,1]],"date-time":"1997-06-01T00:00:00Z","timestamp":865123200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[1997,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Between January 1991 and March 1996, a total of 28 patients with postprimary tuberculosis underwent resection\nfor disease progression (<jats:italic>n<\/jats:italic>= 8), multidrug resistance or noncompliance to the medical treatment (<jats:italic>n<\/jats:italic>= 11), parenchymal sequelae (<jats:italic>n<\/jats:italic>= 3), suspected cancer\n(<jats:italic>n<\/jats:italic>= 5), and for the correction of postpneumonectomy\nbronchopleural fistula and empyema (<jats:italic>n<\/jats:italic>= 1). On\nadmission, eight patients presented with sputum positivity (28.6%). Similar to previous series, tubercular predilection for upper lobes was\nconfirmed (21\/28, 75%); accordingly, upper lobectomy through an\nextrapleural approach was the most common procedure (16\/28, 57.1%). Atypical segmental resections or segmentectomies were performed in\nseven patients (25%), whereas a bilobectomy was necessary in another\nthree patients (10.7%) and a completion pneumonectomy in one (3.6%). Additional procedures were an open\u2010window thoracostomy with\ntranspericardial closure of the main bronchus and a tailored\nthoracoplasty. No operative mortality was reported. Healing was\nachieved in 26 patients (93%). Bleeding, either from the chest wall or\nhilar dissection, was the only reported intraoperative complication. Median blood loss, inclusive of early postoperative collections from\nchest tubes, reached 1330\u00a0ml (range 100\u20133700\u00a0ml). Major postoperative\ncomplications included recurrent disease (2\/28, 7%) in sputum\u2010positive\npatients and segmental pulmonary embolism (3.5%). Causes of minor\nmorbidity were air leaks resulting in residual space undergoing\nspontaneous resolution (18%), wound breakdown (14%), and, fever\n(11%). This limited series confirms the therapeutic value of the\nsurgical treatment of postprimary tuberculosis, provided that correct\nindications, adequate pre\u2010 and postoperative medical coverage, and\nmeticulous technique are applied.<\/jats:p>","DOI":"10.1007\/pl00012274","type":"journal-article","created":{"date-parts":[[2006,2,17]],"date-time":"2006-02-17T17:44:14Z","timestamp":1140198254000},"page":"488-491","source":"Crossref","is-referenced-by-count":5,"title":["Modern Morbidity following Pulmonary Resection for Postprimary Tuberculosis"],"prefix":"10.1002","volume":"21","author":[{"given":"Adriano","family":"Rizzi","sequence":"first","affiliation":[{"name":"Division of Thoracic Surgery E. Morelli Regional Hospital Sondalo(Sondrio) Italy<!--<country1>IT<\/country1>-->"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gaetano","family":"Rocco","sequence":"additional","affiliation":[{"name":"Division of Thoracic Surgery E. Morelli Regional Hospital Sondalo(Sondrio) Italy<!--<country1>IT<\/country1>-->"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mario","family":"Robustellini","sequence":"additional","affiliation":[{"name":"Division of Thoracic Surgery E. Morelli Regional Hospital Sondalo(Sondrio) Italy<!--<country1>IT<\/country1>-->"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerolamo","family":"Rossi","sequence":"additional","affiliation":[{"name":"Division of Thoracic Surgery E. Morelli Regional Hospital Sondalo(Sondrio) Italy<!--<country1>IT<\/country1>-->"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudio Della","family":"Pona","sequence":"additional","affiliation":[{"name":"Division of Thoracic Surgery E. Morelli Regional Hospital Sondalo(Sondrio) Italy<!--<country1>IT<\/country1>-->"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppe","family":"Vertemati","sequence":"additional","affiliation":[{"name":"Division of Thoracic Surgery E. Morelli Regional Hospital Sondalo(Sondrio) Italy<!--<country1>IT<\/country1>-->"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[1997,6]]},"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/PL00012274.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/PL00012274\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/PL00012274","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,11]],"date-time":"2024-01-11T16:01:47Z","timestamp":1704988907000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/PL00012274"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1997,6]]},"references-count":0,"journal-issue":{"issue":"5","published-print":{"date-parts":[[1997,6]]}},"alternative-id":["10.1007\/PL00012274"],"URL":"https:\/\/doi.org\/10.1007\/pl00012274","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[1997,6]]}}}