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(Chest. 1955;27:563-572.)
© 1955 American College of Chest Physicians

Pulmonary Resection in Mental Patients with Tuberculosis

F. JOHN LEWIS M.D.1; JOHN F. PERRY JR. M.D.1; BERNARD ZIMMERMANN M.D.1; COLEMAN J. CONNOLLY JR. M.D., F.C.C.P.1; and FRANCIS F. CALLAHAN M.D.1

1 The Anoka State Hospital and the Department of Surgery, University of Minnesota, Minneapolis.

1. Pulmonary resections have been done in 131 mental patients with tuberculosis. Eighty-eight have undergone segmental resections, seven wedge resections, 28 lobectomies, and eight pneumonectomies.

2. The overall patient mortality rate was 8.4 per cent. Only one of the patients who had segmental resections succumbed.

3. Whenever possible bilateral disease has been treated with bilateral resections. Fourteen who have had segmental resections and three who have had lobectomies have had bilateral operations. In five both sides have been resected at the same operation.

4. The technical problems in pre- and postoperative care which are peculiar to withdrawn, somtimes hostile, mental patients increase the difficulties of doing this type of surgery but they are not serious enough to contraindicate its use.

5. With excisional surgery as part of the treatment a large proportion of the mental patients who have tuberculosis may be brought to a state of health where isolation for tuberculosis is no longer necessary.






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Copyright © 1955 by the American College of Chest Physicians.