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(Chest. 1963;43:486-493.)
© 1963 American College of Chest Physicians

Changing Indications for the Resection of Pulmonary Tuberculosis

W. G. Trapp M.D., F.C.C.P.1 and M. L. Allan M.D., F.C.C.P.1

1 Division of Tuberculosis Control, Department of Health and Hospital Insurance Services for the Province of British Columbia

Fifteen years is a short time in which to evaluate the results of any form of treatment for a disease as notoriously chronic as pulmonary tuberculosis. Yet, and with incomplete knowledge, the place of pulmonary resection in the treatment of tuberculosis has undergone a full turn of the wheel in that period. The tuberculosis control program in British Columbia has been outstandingly successful. Prolonged antibiotic therapy certainly eliminates the need for surgery in many cases, but timely resection in selected patients will shorten hospital stay and result in further release of hospital beds.

We have reported the risks of operation in 682 cases of resection for pulmonary tuberculosis. We have yet to see if the current swing away from resection will be supported by the long-term results of medical treatment.






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