SURGICAL TREATMENT OF LUNG CANCER COMPLICATED BY PLEURAL EFFUSION
https://doi.org/10.24884/0042-4625-2012-171-6-019-021
Abstract
The authors made a retrospective analysis of 51 patients with non-small-cell lung cancer with pleural effusion, not associated with tumor lesion of pleural leaves. Out of 51operated patients 45 (88%) proved to be resectable. Among 45 patients (20 pneumonectomies, 24 lobectomies and 1 bilobectomy) combined interventions were fulfilled in 15 patients. In 27 (60%) out of 45 patients there was an injury of mediastinal lymph nodes, in 13 (29%) — intrapulmonary and root nodes. Complicated course of the postoperative period was noted in 27% of patients, lethality was 2%. One year survival after resection was 86%, three and five year survival was 54% and 30% respectively. The indices of survival reliably depended on the degree of lymphogenic dissemination. The presence of pleural effusion can not be a reason for refusal to fulfill radical surgical intervention.
About the Authors
N. A. Yaitsky
Санкт-Петербургский государственный медицинский университет им. акад. И. П. Павлова; СПбГУЗ «Покровская больница»
Russian Federation
Russian Federation
A. L. Akopov
Санкт-Петербургский государственный медицинский университет им. акад. И. П. Павлова; СПбГУЗ «Покровская больница»
Russian Federation
Russian Federation
R. . Makhmud
Санкт-Петербургский государственный медицинский университет им. акад. И. П. Павлова; СПбГУЗ «Покровская больница»
Russian Federation
Russian Federation
V. I. Egorov
Санкт-Петербургский государственный медицинский университет им. акад. И. П. Павлова; СПбГУЗ «Покровская больница»
Russian Federation
Russian Federation
I. V. Dejneka
Санкт-Петербургский государственный медицинский университет им. акад. И. П. Павлова; СПбГУЗ «Покровская больница»
Russian Federation
Russian Federation
I. V. Chistyakov
Санкт-Петербургский государственный медицинский университет им. акад. И. П. Павлова; СПбГУЗ «Покровская больница»
Russian Federation
Russian Federation
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Review
For citations:
Yaitsky N.A., Akopov A.L., Makhmud R., Egorov V.I., Dejneka I.V., Chistyakov I.V. SURGICAL TREATMENT OF LUNG CANCER COMPLICATED BY PLEURAL EFFUSION. Grekov's Bulletin of Surgery. 2012;171(6):019-021. (In Russ.) https://doi.org/10.24884/0042-4625-2012-171-6-019-021
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