ABSTRACT
The experience with the surgical treatment of 97 patients subjected to late repeated operations on the lungs and pleura is generalized in this work. 68% of these patients had pleural empyema and bronchial fistulae. The authors prefer the radical surgery to pulmonectomy, pleuropulmonectomy, decortication, lung resection and repeated amputation of the main bronchus. Fatality in the late repeated operations was noted in 3.09% of cases and complications--in 10.3%.
Subject(s)
Bronchial Fistula/surgery , Bronchiectasis/surgery , Empyema/surgery , Pleura/surgery , Pneumonectomy/methods , Postoperative Complications/surgery , Aged , Drainage/methods , Evaluation Studies as Topic , Humans , Middle Aged , ThoracoplastySubject(s)
Lung Diseases/surgery , Lung/surgery , Pleura/surgery , Pleural Diseases/surgery , Adult , Chronic Disease , Female , Humans , Male , Middle Aged , Pneumonectomy , Pneumonolysis , Postoperative Complications/surgery , RecurrenceABSTRACT
The analysis of the lethality (4.8%) and postoperative complications (2.3%) following 740 lung operations was carried out. The authors developed methods of early preclinical diagnosis of intrapleural complications through the studies of neutrophilic leucocytes histochemical indices and biochemical and cytological changes of postoperative pleural extravasate.