RESUMO
The authors share their experiences with examination and surgical treatment of 163 patients with various neoplasms of the mediastinum. The first place among the neoplasms is occupied by tumors of the lymphatic apparatus (33%), the second--by tumors of the thymus (21%). The video-thoracoscopic technique was used in 17 of 131 operations performed. Complications after the operations took place in 6 patients (4.5%), two patients died (1.5%). A conclusion is made that the patients of this category must be treated not only by thoracic surgeons but also by hematologists, neurologists, neurosurgeons and specialists in radiation therapy.
Assuntos
Doença de Hodgkin/cirurgia , Linfoma não Hodgkin/cirurgia , Neoplasias do Mediastino/cirurgia , Cirurgia Torácica Vídeoassistida , Adolescente , Adulto , Idoso , Cistos/diagnóstico , Cistos/diagnóstico por imagem , Cistos/cirurgia , Diagnóstico Diferencial , Feminino , Seguimentos , Doença de Hodgkin/diagnóstico , Doença de Hodgkin/diagnóstico por imagem , Humanos , Linfoma não Hodgkin/diagnóstico , Linfoma não Hodgkin/diagnóstico por imagem , Masculino , Neoplasias do Mediastino/diagnóstico , Neoplasias do Mediastino/diagnóstico por imagem , Pessoa de Meia-Idade , Complicações Pós-Operatórias , Radiografia Torácica , Timoma/diagnóstico , Timoma/diagnóstico por imagem , Timoma/cirurgia , Neoplasias do Timo/diagnóstico , Neoplasias do Timo/diagnóstico por imagem , Neoplasias do Timo/cirurgia , Fatores de TempoRESUMO
An experience with treatment of 29 patients with bilateral malignant tumors includes primary tumors and those of metastatic origin. When large bilateral lung resections are necessary, the consecutive operations are considered to be expedient with intervals of 4-6 weeks. When the operation volume is not more than lobectomy in one side and an atypical or segmental resection in the other side, it is possible to fulfill a one-step intervention from the transsternal access. The surgical treatment for bilateral tumors should be supplemented by radio- and chemotherapy. Surgical treatment for bilateral tumors of the lungs is permissible but in the side of the maximal lesion followed by treatment of the rest of the tumor by nonsurgical methods.
Assuntos
Neoplasias Pulmonares/cirurgia , Adulto , Idoso , Feminino , Neoplasias de Cabeça e Pescoço/patologia , Humanos , Neoplasias Pulmonares/patologia , Neoplasias Pulmonares/secundário , Masculino , Pessoa de Meia-Idade , Neoplasias Cutâneas/patologia , Neoplasias Uterinas/patologiaRESUMO
An experience with treatment of 35 patients with pulmonary metastases from different tumors is described. In all, 45 surgical interventions were performed which included bilateral operations and reoperations. At the postoperative period complications were observed in 5 cases (14.7%). There were no lethal outcomes after operations. Long-term results of the surgical treatment of patients with pulmonary metastases considerably differed from those observed in patients with primary lung cancer. If there is no recurrent tumor, no distant metastases of another localization and the patient's condition is estimated as satisfactory, the surgical intervention is thought to be a valuable method of treatment for pulmonary metastases.
