ANALYSIS OF POSTOPERATIVE COMPLICATIONS STUDIED ON 1000 CONSECUTIVE PULMONARY RESECTIONS FOR TUBERCULOSIS

概要

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One thousand pulmonary resection for tuberculosis were performed in the past ten years from 1953 to June 1963. The mortality rate was 1.6% (16 deaths) and the incidence of postoperative complications was considerably lower than those reported previously, that is, 3.0% of bronchial Estula (30 cases), 0.2% of empyema thoracis (2 cases) and 0.3% of Hemothorax (3 cases).<BR>Bronchial fistula has been consi dered to occur mainly in the case with resistant organisms or cavity formation. However, our study revealed that this complication is resulted mainly from faulty handling of bronchial stump except in the case of deteriorated general condition, accident or tuberculous change of bronchial stump.<BR>Empyema thoracis has been considered to be due to contamination of intrapleural space caused by the rupture of cavity. However, this complication revealed to be preventable by sufficient intrapleural irrigation, postoperative drainage and chemotherapy.<BR>The incidence of postoperative hemothorax can be kept minimum by paying adequate attention to hemorrhage during the operative procedure avoiding extrapleural dissection and to hemorrhagic tendency or fibrinolysis.
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