I have review results of 30 cases of pneumonectomy for advanced pulmonary
tuberculosis in past two years and the summery of results is as follows:
1) Recently, in Korea the cases of pneumonectomy for tuberculosis are gradually
increased while the % of lobectomy and segmental resection has been decreased.
2) According to the x-Ray findings all eases indicated for pneumonectomy are
classified into 3groups, e, g, opaque, far extended and empyema grop.
3) The mortality was 6.6%, and of these death early dead was mainly caused by
cardiorespiratory insufficiency while the late dead was due to the respiratory
insufficiency secondary to tuberculous spread of opposite lung.
4) There was no complication of bronchofistula, but one case of empyema was
occured after 20days of operation due to wound infection.
5) In most cases, postoperatively, it should be strictly observed the occurence of
mediastinal shift, anoxia and pulmonary edema, We have routinally prefered to apply the
digitalization for about 5days preoperatively and aminophylline injection postoperatively.
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