Clinical observations were made on 513 cases of pulmonary resection for tuberculosis, those were treated at the Department of Thoracic Surgery in National Medical Center from January 1964 to December 1973.
1. The ratio of male to female cases of operation was 2.8:1 in male predominance and age from 21 to 30 occured 74.3% of the total cases.
2. The extent of disease showed 59.3% moderately advanced, 38.4% far advanced and 2.3% minimal cases. Duration of chemotherapy before surgery was more than one year in 92.7% and only 7.3% was treated less than one year. Preoperative sputum examination for AFB was persistant negative in 8.6% of cases.
3. Different operative procedures were performed in 513 cases, lobectomy in 230, pneumonectomy and pleuropneumonectomy in 172, segmentectomy in 63, lobectomy and supplemental segmentectomy with conventional thoracoplasty in 32 cases.
4. The postoperative complications occured in 67 cases (13.0%) Of these complications, bleeding in 4.6%, dead space problem in 2.5% and empyema with or without bronchopleural fistula occured in 2.3% of cases.
5. Overall mortality within 6 months postoperative period was 1. 5% and the most common causes of death were due to shock and empyema with bronchopleural fistula.
6. In all our 867 cases of report I and Ⅱ, complications occured in 13.9% and mortality rate was 1.8%
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