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Abstract
An analysis of sixty-two children and adolescents with pulmonary tuberculosis treated
by resection revealed the fact that the indications for surgery are influenced largely
by the age of the patient. Children under the age of five rarely require surgery because
one is usually dealing with a regressive primary disease. Resection may be required
for irreversible changes in the parenchyma or sequelae due to bronchial obstruction.
In children six to ten years of age resection has a wider field of application. In
this age group one is more apt to encounter sequelae of the primary infection, such
as a shrunken lobe, bronchostenosis or bronchiectasis. Some children in this age group
may have postprimary disease identical to that in the adolescent.
Resection is more often indicated for tuberculosis in the adolescent. The destructive
nature of the disease which may not respond sufficiently to antituberculosis treatment
calls for more radical measures.
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© 1955 Published by Elsevier Inc.
