ABSTRACT
A series of 19 upper right lobectomies with resection and anastomosis of the principal bronchus carried out since 1975 at the 2nd Surgery Division, S. Luigi Gonzaga Hospital is described. An account is given of the carcinogenic risk, the endoscopic aspects, and the intraoperative picture in the various cases, and the long-term survivals, compatible with the time when the operation was performed. A brief description is also given of the technique employed, namely Sleeve Resection instead of the usual cuneiform approach. The reasons for this choice are explained. Lastly, from what is indicated it appears that right upper lobectomy with resection and anastomosis of the main bronchus is a very efficacious and very probably radical method in any cases where the neoplastic site should make right pneumonectomy necessary, but this is barred on the patient's functional status.
Subject(s)
Carcinoma, Squamous Cell/surgery , Lung Neoplasms/surgery , Adenocarcinoma/surgery , Adult , Bronchi/surgery , Humans , Male , Methods , Middle Aged , Prognosis , RiskABSTRACT
41 cases of bronchial fistula secondary to 458 pulmonary tuberculosis exeresis, and 4 cases of bronchial fistulae secondary to 476 exeresis for non tubercular diseases, observed from 1969 to 1975, are reported. Possible surgical treatment of post-exeresis bronchial fistula is examined and the various reintervention methods and results obtained are described.
Subject(s)
Bronchial Fistula/surgery , Lung Neoplasms/surgery , Pneumonectomy/adverse effects , Tuberculosis, Pulmonary/surgery , Bronchial Fistula/etiology , Bronchiectasis/surgery , Humans , Postoperative Complications/surgeryABSTRACT
Five cases of surgically treated unrestrainable pulmonary haemorrhage are described. The satisfactory results obtained show that pulmonary exeresis, in some cases of haemorrhages, is the only effective method for saving the patient's life and removing the anatomic cause of the haemorrhage.
