FOLLOW UP STUDY OF SURGICAL TREATMENT OF PULMONARY TUBERCULOSIS

kim, Jae Won; Cha, Kyung OK; Cho, Chung Sup; Chung, Hae Yung; Lee, Jung Hee; Oh, Sang Baik; Kim, Poung Ki

doi:1965.0.19.19

Tuberc Respir Dis > Issue 19; 1965 > Article

Tuberculosis and Respiratory Diseases 1965;19:19-28.
DOI: https://doi.org/10.4046/trd.1965.19.1.19 Published online December 1, 1965.

FOLLOW UP STUDY OF SURGICAL TREATMENT OF PULMONARY TUBERCULOSIS

Jae Won kim, Kyung OK Cha, Chung Sup Cho, Hae Yung Chung, Jung Hee Lee, Sang Baik Oh, Poung Ki Kim

Department of Chest Medicine, The National Medical Center

Abstract

1. 273 cases consisting of 97 cases of thoracoplasty, 145 cases of lung resection and 31 cases of lung resection with thoracoplasty were followed up post-operatively 1-5 years. 2. Failure was 22.6% in thoracoplasty, 13.1% in lung resection (12.7% in pneumonectomy, 8.9% in lobectomy, and lobectomy with segmentectomy, and 22.2% in segmentectomy) 25.7% in concomitant thoracoplasty. 3. Failure was more prominent in cases of more than 2 cavity, big size of the cavity and resistant bacilli in thoracoplasty. About same indication except bacilli sensitivity was applied to resection. particularly in lobectomy and segmentectomy. However, the cases of concomittant thoracoplasty showed almost opposite result. Preoperative irregular chemotherapy was one of prominent factors of failure in all kinds of surgery but others were insignificant except above-mentioned factors.