| CLINICAL OBSERVATION ON 41 CASES OF EXTRAPLEURAL PNEUMONECTOMY |
|
Dae Han Choi, Joong Won Kang, Tong Wook Lee |
|
Department of Thoracic Surgery, National Medical Center, Seoul, Korea |
|
|
| Abstract |
|
Among the patients coming to thoracic surgery department of National Medical Center from July to Aug. 1965, 41 cases of extra pleural pneumonectomy excluding 2 cases of lung cancer are presented together with indication, post-operative complication and result of treatment. Among 41 cases, pulmonary tuberculosis with empyema, and tuberculous destroyed lung without empyema were 25 cases, non-tuberculous empyema with ore without destroyed lung 14 cases, lung abscess and bronchiectasis each one case. In cases with low pulmonary function pre-operatively, extra-pleural pneumonectomy was performed aggressively with the aids of AGA&Engstroem respirator, although there was some wonder of high operative risk, and if pulmonary insufficiency occurred post=operatively, these respirators were applied under tracheostomy with effective results. Post-operative complications wrer 29% of empyema, 7% of brocho-pleural fistula, 27% of post-operative bleeding and 2% of spread to contra-lateral lung. Among 25 cases of empyema sac or lung cavity rupture during operation which brought about contamination of ches cavity, empyema occurred in 36%. The follow-up study in one month to 5 years and 5 months of duration after discharge showed 63% of improved 12% of worse, and 15% of unknown which indicates that patients have not visited our OPD since discharge. Operative death rate in one month post-operative course was 10% and the average blood amount needed for patients during and after operation until recovery was 11 to 20 points. Tracheostomy was performed in 8 cases just after or late operation and among them 6 cases were in below 50 L of M.B.C. and 2 cases in above 50 L. These 2 cases had to have tracheostomy in spite of above 50L because of pulmonary insufficiency. |
|
PDF Links
Full text via DOI
Download Citation
