The Review Of Pneumonectomyh for Advanced Pulmonary Tuberculosis

doi:1962.0.12.7

Tuberc Respir Dis > Issue 12; 1962 > Article

Original Article

Tuberculosis and Respiratory Diseases 1962;12:7-12.
DOI: https://doi.org/10.4046/trd.1962.12.1.7 Published online December 1, 1962.

The Review Of Pneumonectomyh for Advanced Pulmonary Tuberculosis

Department of Thoracic Surgery, College of Medicine, Pusan National University.

Abstract

I have reviewed the results of 30 cases of pneumonectomy for advanced pulmonary tuberculosis in past two years and the summary of results is as follows: 1) Recently, in Korea the cases of pneumonectomy for tuberculosis are gradually increased while the % of lobectomy and segmental resection has been decreased. 2) According to the x-Ray findings all cases indicated for pneumonectomy are classified into 3groups. e,g, opaque, far extended and empyema group. 3) The mortality was 6.6%, and of these death early dead was mainly caused by cardiorespiratory insufficiency while the late death was due to the respiratory insufficiency secondary to tuberculous spread of opposite lung. 4) There was no complication of bronchofistula, but one case of empyema was occurred after 20days of operation due to wound infection. 5) In most cases, postoperatively, it should be strictly observed the occurrence of mediastinal shift, anoxia and pulmonary edema. We have routinely preferred to apply the digitalization for about 5days preoperatively and aminophylline injection postoperatively.