Dobrovol'skiĭ S R, Grigor'eva S P
Khirurgiia (Mosk). 1992 Mar(3):12-7.
Operations were performed on 3,313 patients for lung carcinoma in the Department of Surgery of the Lungs and Mediastinum of the National Research Center of Surgery, AMS USSR, from 1963 till 1.01.90. Among these patients 263 (7.9%) were treated by combined operations (resection of the lung together with part of the chest wall, trachea and its bifurcation, pericardium, diaphragm, superior vena cava, pulmonary artery, aorta, and atrium, and also with removal of metastatic lymph nodes of the contralateral lung). Three types of combined resections were carried out--vasculo-atrial, tracheo-bronchial, and parieto-diaphragmatic. Postoperative complications developed in 38.6% of patients. Intraoperative mortality was 1.5%, 13.9% of patients died after the operation. More than 5 years survived 21.8% of patients who underwent operation, more than 10 years 10.2%, and more than 15 years 5.6% of patients.
1963年至1990年1月1日期间，苏联医学科学院国家外科研究中心肺与纵隔外科对3313例肺癌患者实施了手术。其中263例（7.9%）接受了联合手术（切除肺并连同部分胸壁、气管及其分叉、心包、膈肌、上腔静脉、肺动脉、主动脉和心房，以及切除对侧肺的转移性淋巴结）。进行了三种类型的联合切除术——血管心房、气管支气管和胸壁膈肌。38.6%的患者出现了术后并发症。术中死亡率为1.5%，13.9%的患者术后死亡。接受手术的患者中，21.8%存活超过5年，10.2%存活超过10年，5.6%存活超过15年。
