|
KMID : 0364019720050020125
|
|
Korean Journal of Thoracic and Cardiovascular Surgery
1972 Volume.5 No. 2 p.125 ~ p.133
|
|
|
Resection in Pulmonary Tuberculosis
|
|
李成九/Lee, Sung Koo
鄭鎭澤/千熙斗/張明珪/Chun, Hee Du/Chung, Jin Tack/Chang, Myung Kyu
|
|
|
Abstract
|
|
|
Pulmonary resection has evolved as the treatment of choice in certain pulmonary tuberculosis cases.
This study represents an analysis of 640 cases of pulmonary resections between March, 1953 and August, 1966 and 370 cases of 13 years follow-up results at the 36th Army Hospital.
1) The ages ranged from 20 to 45 years and all cases were males.
2) The extent of disease revealed 116 Far advanced, 472 Moderate advanced and 52 Minimal Cases.
3) The extent of resecttions were 373 lobectomies, 130 segmental resections, 58 pneumonectomies, 25 multiple lobectomies, 25 lobectomies with thoracoplasties, 22 lobectomies with segmental resections, and 7 wedge resections.
4) The postoperative complications occurred in 71 cases(11.09 per cent). Of these complications, bronchopleural fistula occurred in 13 cases (2.03 per cent).
5) The early operative mortality within 24 hours was 2.0 per cent and late mortality within 6 months was 1.4 per cent, a total mortality from all causes of 3.4 per cent: 15.5 per cent following pneumonectomy, 2.1 per cent following lobectomy, 1.5 per cent following segmental resection.
6) All 370 patients were followed for periods ranging from 6 months to 5 years and 5 years to 13 years. Of these former group of 241 patients, 73.3 per cent of the cases had returned to full active life and remained well, while 15.4 per cent were still under treatment. Of these latter group of 129 patients, 76.0 per cent of the cases were well and 4.7 per cent were still under treatment.
7) In the follow-up results according to extent of disease, the cure rate was greatest in cases of minimal group and lowest in cases of far advanced group.
8) In the results by extent of resection, the cure rate was greatest in cases of lobectomy group.
9) Through the all follow-up periods, 11 patents (3.0 per cent) were died. Of these, 3 were suicide and 8 were unknown causes.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
 
|
|
|
Listed journal information
|
|
  
|
|