This is not a common operation. I have done a few, basically where I thought an attempt to do a pneumonectomy was fraught with a huge risk. The other lung appeared good on Xray, but on the affected side there was a bronchopleural fistula, a pyothorax, and a destroyed lung. Whenever the patient lay on their healthy side they coughed up copious pus as it ran from the pyothorax through the fistula into the trachea, sometimes in sizeable volumes and was coughed up. TB was very common; this film doesn’t show a case suitable for this surgery.
I used to travel to Nazret after teaching Bible and four French lessons on a Thursday. Nazret v Adama It was about a hundred kilometre trip. I’d book in at the hotel where I always stayed and after freshening up a bit go to the hospital. There was a wide variety of cases as you would expect in a city of about half a million and draining a fairly densely populated area of about 50 km radius. They did operations through the week. They tended to keep the more difficult ones for me. In that area there were lots of cases of cancer of the oesophagus.