A clinical study of 36 cases of pulmonary tuberculosis that had had a surgical resection during the period of 13 years from January 1979 to December 1992 was performed in the Department of Thoracic and Cardiovascular Surgery, Chonbuk National
University
Hospital. The ratio between male and female was 3.5:1 and the age of peak incidence was in the 2nd and 3rd decades.
The common prodromal symptoms were chest pain(38.9%) and hemoptysis or blood tinged sputum (36.1%).
Preoperative diagnostic examination of sputum positivity for AFB stain despite antituberculosis chemotherapy was noticed in 22.8%.
Surgical indications were destroyed lobe or segment with or without cavity(58.3%), mass unable to differentiate from lung cancer(16.7%), total destroyed lung(13.9%), bronchostenosis with atelectasis and distal bronchiectasis(11.1%).
Types of resection were pneumonectomy in 16.7%, lobectomy and segmentectomy 2.7%, lobectomy 50%, segmentectomy 27.8%, and wedge resection 2.7%.
Postoperatively, pulmonary function improved compared to the preoperative examination, although these changes were not statistically significant. One patient died of ulcerative colitis due to drug hypersensitivity, and the postoperative
complications
were remnant dead space in 11.1%, spreading of tuberculosis in 5.5%, and empyema with BPF in 5.5%.
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