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KMID : 0378019660090040065
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New Medical Journal
1966 Volume.9 No. 4 p.65 ~ p.68
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Thoracoplasty at the Kwangju Christian Hospital
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洪厚植/Hong, Hoo Sik
裵斗賢/邊于燮/R.B.Dietrick/L.Simpson/Dietrick, R.B./Simpson, L./Pae, Too Hyun/Pyun, Woo Sup
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Abstract
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In the past five years 96 patients have had a thoracoplasty at the Kwangju Christian Hosp. Twenty-two cases.had an apicolysis in addition to thoracoplasty, (Semb), 65 cases had a classical thoracoplasty, (Alexander), 6 patients had a Shede thoracoplasty, and three patients had a thoracoplasty following the pulmonary resection. For purposes of analysis the 6 Shede thoracoplasties are excluded. In the other 90 cases, 73 were male and 17 were female. Half of the patients were under thrity, and no patients was over sixty. The operative mortality was 1.1 %, only one paients having died. In 174 operations on the 90 patients 18 wou-nd infections occurred, for an overall infection rate of 10 %. Recently we have been draining the subscapular space with a catheter attached to suction for 48 hours. In these cases there have been 19 first stage operations with.only one wound infection, (5%), and 17 second stage operations with no wound infections. Therefore we are hopeful that this catheter drainage method will decrease our wound complication rate.Only one patient was lost to follow-up. Eighty-six percent of the patients achieved sputum conversion and are presumed arrested. In general about three out of four patients who did convert to sputum negative, did so in the first three or four months after operation. Two patients died with disease, (2.2%), and eight paients are as yet sputum positive more than one year after operation. These are considered as probably failures.
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