In considering the surgical resections as treatment for the pul. tbc., the very existence
of the bronchial tbc, is liable to cause various post-operative complications such as
broncho-pleural fistules and spreadings of lesions to healthy pulmonary resions. We
have seen, on the microscopic examination of the 115 resected Lung specimens, 16
cases(13.9%), who had preoperative combined therapy extending from 0 to 20 months
duration, with tuberculous lesions on their bronchial walls. Of these 16 cases, 8 from
cases of lobectomy and 8 from cases of segmental resections were derived respectively,
15 were navy personnel and 1 was a civilian. Original lesions of these 16 cases were
13cavitations, 1 tuberculoma, 2 small foci and the microbio logical study on these
showed 13cases to be positive both on stainings and cultures, 1 cases to be negative on
the staining while positive on the culture and 2cases to be positive on the stainings
while negative on the cultures. As for the sites of the lesions of these 16 cases of
bronchial tuberculosis, 6 lesions seen on the mucosal layer, 6 in the submucosal, 5 in
the muscular, 5 on the serosal, 4 on the glands, and 1 invaded cratilage were noticed
respectively. And describing the findings of lesions, 3 were tubercles with liquefactions,
1 was tubercle with central calcification, 2 with squanmous metaplasia of the mucosal
epithelium and the rest of lesions showed solid tubercles only. The 5 cases with 7
complications out of these 16 cases were observed that is, 2 cases with blood in sputa,
3 with bronchopleural fistules and 2 with lesions spread to the healthy regions. Of these
last 2 one died accompaning bronchopleural fistule and pyothorax and the other is still
receiving medical treatment for three years after the operation, although, except these 2
cases the rest showed drastic cures with massive antibiotic treatment provided.
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