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January 01, 1929, Vol 18, No. 1_PART_II >
ARTICLE | January 01, 1929

SURGICAL PRINCIPLES UNDERLYING ONE-STAGE LOBECTOMY

HAROLD BRUNN, M.D.
Arch Surg. 1929;18(1_PART_II):490-515. doi:10.1001/archsurg.1929.04420020312020.
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ABSTRACT

It seems remarkable that so few articles or discussions are to be found during the last few years on lobectomy. The discussion has rather concerned the substitutes that might be used in its stead, based no doubt on the theory that the operative mortality forbids its use or that the technic of the operation has become a fixed procedure.

Lobectomy, that is, the removal of one or more diseased lobes of the lung, must appeal to every one as the ultimate goal in surgical procedures on the chest. By this method the diseased lobe is removed at one stroke; the period of convalescence is diminished, and deformity does not result. The method also more nearly conforms to the procedures surgeons are accustomed to apply for diseases in other organs of the body. Just as cholecystectomy superseded cholecystotomy and as hysterectomy superseded the old time method of extraperitoneal tratment of the

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