Pirogov A I, Sviridova S P, Laktionov K P, Mar'in N D, Gromova E G
Vopr Onkol. 1985;31(10):9-14.
The report discusses a 20 year-old experience with surgical treatment for lung cancer. In 1961-1980, the following surgical procedures were carried out in 1,100 cases of lung cancer: pneumonectomy--417 (38%), lobe- and bilobectomy--506 (46%), and exploratory thoracotomy--117 (16%). The range of indications for surgical treatment has been extended within the last 10 years; the percentage of surgical cases older than 60 years has grown from 17 to 35%, with patients older than 70 amounting to 12%. Risk of surgery for lung cancer has been reduced thanks to complex and pathogenetically-grounded therapy given before and immediately after operation as well as application of improved surgical and anesthesiologic support procedures. Among the most frequent death-causing post-operative complications were thromboembolism of the pulmonary artery, bronchial fistula, empyema of the chest and cardiopulmonary failure.
该报告讨论了长达20年的肺癌外科治疗经验。1961年至1980年期间，对1100例肺癌患者实施了以下外科手术：全肺切除术417例（38%），肺叶及双肺叶切除术506例（46%），开胸探查术117例（16%）。在过去10年中，外科治疗的适应证范围有所扩大；60岁以上手术病例的百分比从17%增至35%，70岁以上患者占12%。由于术前及术后即刻采用了综合且基于发病机制的治疗方法，以及应用了改进的外科和麻醉支持程序，肺癌手术风险有所降低。术后最常见的致死性并发症包括肺动脉血栓栓塞、支气管瘘、胸腔积脓和心肺衰竭。
