FOLLOW-UP STUDY OF SURGICAL TREATMENT CASES FOR PULMONARY TUBERCULOSIS 207 CASES

Lee, K.Y.; Min, J.S.; Lee, Y.H.; Hong, P.W.

doi:1964.0.17.111

Tuberc Respir Dis > Issue 17; 1964 > Article

Tuberculosis and Respiratory Diseases 1964;17:111-115.
DOI: https://doi.org/10.4046/trd.1964.17.1.111 Published online December 1, 1964.

FOLLOW-UP STUDY OF SURGICAL TREATMENT CASES FOR PULMONARY TUBERCULOSIS 207 CASES

K.Y. Lee, J.S. Min, Y.H. Lee, P.W. Hong

Surgical Department, Severance Hosiptal , Yonsei University

Abstract

During a 7 year period from January, 1965 to December, 1962, 364 patients were operated on for pulmonary tuberculosis, resection in 249 patients and thoracoplasty in 115 cases. The operative mortality for resection was 2.8% and that for thoracoplasty 1.7%. Of these, 207 patients, 147 resection cases and 60 thoracoplasty cases, were followed for a period of 10 months to 6 years. Of the 147 cases of resection, 129 cases oir 87.8% became inactive following the surgery, while, of the 60 cases of thoracoplasty, 49 cases or 81.7% were converted inactive following the surgery. Of the resection cases, 25 patients had pneumonectomy and all remained inactive following the surgery. One hundred and eight cases had lobectomy or lobectomy plus segmental resection and 16 cases or 14.8% remained active following the surgery. Fourteen cases had a segmental resection only and 2 cases or 14.3% remained active following resection. Of the cases with moderately advanced and far advanced tuberculosis, the reactivation rate was 13.4% and 13.5% respectively following resection while none of those who had only minimal disease had reactivation following resection. Those who had positive sputum preoperatively showed a reactivation rate of 15.4 % following resectrion. On the other hand, none of those who had negative sputum preoperatively had a reactivation of the disease following resection. Those who had unilateral disease showed a reactivation rate of 8.9% and those who had fibrosis or small nodular diseases on the contralateral side on X-Ray at the time of resection had a reactivation rate of 21.4%

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