[Treatment of chronic empyemas in the pleural cavity]. / Leczenie przewleklych ropniaków oplucnej.

The authors present the results of surgical treatment of chronic empyemas of the pleural cavity in 294 patients treated at the Surgical Department in the years 1980-1992. The methods of treatment are discussed taking in consideration the etiology of the empyemas, clinical presentation, coexistent diseases. In 86 patients (29.3%) decortication with partial resection of the lung was carried out (most often a lobe), in 123 patients (41.8%) a decortication was performed, in 8 (2.7%) thoracoplasty, in the remaining 41 (13.9%) drainage of the pleural cavity was carried out. Out of the 245 subjects treated surgically 3 (1.2%) died; in the remaining patients a full recovery was noted. A full recovery was noted in 22 (53.7%) out of the 41 treated with pleural cavity drainage. Eight patients with esophageal-pleural fistulas in the course of a advanced esophageal cancer died due to advanced malignancy. 11 were discharged with chronic drainage. The latter could not be treated surgically due to a existence of high risk factors.

[Modern indications for surgical treatment of pulmonary tuberculosis and efficacy of using these methods]. / Wspólczesne wskazania do chirurgicznego leczenia gruzlicy pluc oraz skutecznosc stosowanych metod.

The authors have shown the modern indications for surgical treatment of pulmonary tuberculosis and the results of such treatment in 217 patients. The main indications were: empyema in 58 patients, pulmonary hemorrhages in 18 cases, aspergillomas in tuberculosis caverns in 42 patients, post-tuberculosis stenoses of the bronchi in 9 cases, inefficient chemotherapy in atypical mycobacteriosis in 16, inefficient 12 months chemotherapy in 42 as judged by sputum positivity, peripheral round lesions judged to be tuberculomas in 32 cases.

[Five year survival in patients with non small cell carcinoma of the lung treated surgically]. / Piecioletnie przezycia chorych na niedrobnokomórkowego raka pluca leczonych chirurgicznie.

The late results of surgical treatment of non small cell lung cancer in 735 patients treated in the years 1981-1986 are presented. 59.3% of the patients with stage I disease are alive after 5 years; 43% with stage II and 23.6% with stage III. 326 (44.3%) out the initial number of 735 surgically treated patients have survived 5 years. 274 patient died in the course of local recurrencies and distal metastases, while 135 died due to nonmalignant causes.

[Echinococcal cysts of the lung and spleen]. / Torbiele bablowcowe pluca i sledziony.

Pulmonary echinococcosis (hydatid disease) is not rare in endemic regions. In Poland it is rare, seen mainly in subjects returning from endemic areas. The intermediate host includes a variety of mammals-sheep, cows, and also humans. The definite host is the dog and is the main source of ova. A case of a 52 year old male is presented who lived in Argentina for a few years. Radiological examination disclosed two pulmonary cysts. Additionally one was also present in the spleen. The diagnosis was made basing of findings form radiological examinations. CT-scan, and serological studies. It was further confirmed during the surgical removal of the affected lung parenchyma. Leaving the spleen cysts is a risk factor it may be the source for further seeding of ova. Mebendazol therapy was instituted, which will be continued in the future. The patient will remain under observation.