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Surgery in the Treatment of Pulmonary Tuberculosis

Surgery in the Treatment of Pulmonary Tuberculosis Abstract With the advent of antituberculous chemotherapy and antibiotics, marked changes have been permitted in the surgical attack on tuberculosis. Whereas previously surgery had been limited to collapse procedures, now the residual tuberculous lesions are much more frequently excised. This progressive change in surgical methods is indeed a reflection of changing concepts. It is the purpose of this paper to present our experience in the surgical treatment of tuberculosis over a five-year period. In particular, we wish to show the changing trends in the surgical approach, to outline the methods we use in evaluating patients, and to present our results in terms of morbidity and mortality. Material The data in this report were compiled from the analysis of 1,041 consecutive surgical procedures performed for tuberculosis during the five-year period, commencing Jan. 1, 1954, at the Veterans Administration Hospital, Hines, Ill., and the Chicago State Tuberculosis Sanitarium, Chicago. In general, the References 1. Raleigh, J. W., and Steele, J. D.: Recent Developments in the Treatment of Tuberculosis in Man , J.A.M.A. 166:921 ( (Feb. 22) ) 1958.Crossref 2. Barrett, R. J.; Neal, H. S.; Day, J. C.; Chapman, P. T.; O'Rourke, P. V.; O'Brien, E. J., and Tuttle, W. M.: Pulmonary Resection in the Treatment of Tuberculosis , J. Thoracic Surg. 36: 803 ( (Dec.) ) 1958. 3. Price, T. C.: Modern Surgical Treatment of Pulmonary Tuberculosis , Proc. Roy. Soc. Med. 50:489 ( (July) ) 1957. 4. Pyle, M. D.; Langston, H. T., and Pfuetze, K. H.: Chemotherapy in Pulmonary Resection for Salvage Cases of Tuberculosis, to be published. 5. Langston, H. T.: The Surgery of Pulmonary Tuberculosis , Radiology 71:345 ( (Sept.) ) 1958.Crossref 6. Harrison, R. W.; Reimann, A. F.; Long, E. T.; Lester, W., and Adams, W. E.: Adverse Surgical Experience in the Treatment of Pulmonary Disease Caused by Atypical Acid-Fast Bacilli , J. Thoracic Surg. 38:481, 1959. 7. Milloy, F. J.; Kadhem, A., and Langston, H. T.: Space Problems in Extensive Resection for Pulmonary Tuberculosis: The Use of Preresection Tailoring Thoracoplasty , J. Thoracic Surg. 37:442 ( (April) ) 1959. 8. Curtis, J. K.; Bauer, H.; Rasmussen, B. S., and Mendenhall, J. T.: Studies of Pulmonary Function Before and After Pulmonary Surgery in 450 Tuberculous Patients , J. Thoracic Surg. 37:598 ( (May) ) 1959. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Surgery in the Treatment of Pulmonary Tuberculosis

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References (8)

Publisher
American Medical Association
Copyright
Copyright © 1960 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1960.01300020097015
Publisher site
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Abstract

Abstract With the advent of antituberculous chemotherapy and antibiotics, marked changes have been permitted in the surgical attack on tuberculosis. Whereas previously surgery had been limited to collapse procedures, now the residual tuberculous lesions are much more frequently excised. This progressive change in surgical methods is indeed a reflection of changing concepts. It is the purpose of this paper to present our experience in the surgical treatment of tuberculosis over a five-year period. In particular, we wish to show the changing trends in the surgical approach, to outline the methods we use in evaluating patients, and to present our results in terms of morbidity and mortality. Material The data in this report were compiled from the analysis of 1,041 consecutive surgical procedures performed for tuberculosis during the five-year period, commencing Jan. 1, 1954, at the Veterans Administration Hospital, Hines, Ill., and the Chicago State Tuberculosis Sanitarium, Chicago. In general, the References 1. Raleigh, J. W., and Steele, J. D.: Recent Developments in the Treatment of Tuberculosis in Man , J.A.M.A. 166:921 ( (Feb. 22) ) 1958.Crossref 2. Barrett, R. J.; Neal, H. S.; Day, J. C.; Chapman, P. T.; O'Rourke, P. V.; O'Brien, E. J., and Tuttle, W. M.: Pulmonary Resection in the Treatment of Tuberculosis , J. Thoracic Surg. 36: 803 ( (Dec.) ) 1958. 3. Price, T. C.: Modern Surgical Treatment of Pulmonary Tuberculosis , Proc. Roy. Soc. Med. 50:489 ( (July) ) 1957. 4. Pyle, M. D.; Langston, H. T., and Pfuetze, K. H.: Chemotherapy in Pulmonary Resection for Salvage Cases of Tuberculosis, to be published. 5. Langston, H. T.: The Surgery of Pulmonary Tuberculosis , Radiology 71:345 ( (Sept.) ) 1958.Crossref 6. Harrison, R. W.; Reimann, A. F.; Long, E. T.; Lester, W., and Adams, W. E.: Adverse Surgical Experience in the Treatment of Pulmonary Disease Caused by Atypical Acid-Fast Bacilli , J. Thoracic Surg. 38:481, 1959. 7. Milloy, F. J.; Kadhem, A., and Langston, H. T.: Space Problems in Extensive Resection for Pulmonary Tuberculosis: The Use of Preresection Tailoring Thoracoplasty , J. Thoracic Surg. 37:442 ( (April) ) 1959. 8. Curtis, J. K.; Bauer, H.; Rasmussen, B. S., and Mendenhall, J. T.: Studies of Pulmonary Function Before and After Pulmonary Surgery in 450 Tuberculous Patients , J. Thoracic Surg. 37:598 ( (May) ) 1959.

Journal

Archives of Surgery – American Medical Association

Published: Aug 1, 1960

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