[The appropriateness of pneumonectomy in the treatment of lung diseases].
Evaluation of results following lung surgery, with a total of 303 pulmonary resections performed at the Department of Surgery in Pardubice Municipal Hospital over the years 1981-1986, made the authors review the patients' overall status after pneumonectomy. Special attention was given to the causes of death, differences in survival rates after left and right pneumonectomy, the relationship between survival rates and preoperative values of spirometry, and the quality of life after surgery. The causes of death within one moth of surgery were identical with known complications. The other patients operated on were dying gradually of recurrence of the malignant process. The five-year survival rate was 31% of all patients undergoing surgery. Differences in survival rates following left and right pneumonectomy were not related to the site of the procedure but to the stage of the disease, evaluated using the international staging system. Preoperative values of spirometry do not provide a clue for survival rates. The quality of life after pneumonectomy is satisfactory, changing only with recurrence of the process. Pneumonectomy is fully justified in the treatment of lung neoplasms and other lung diseases.
Havlícek
K
K
Centrální chirurgické ambulance a operacní sály nemocnice, Pardubice.
Siller
J
J
D000328:Adult; D005260:Female; D006801:Humans; D008171:Lung Diseases / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy / Q000009:adverse effects / Q000401:mortality
Oprávnĕnost pneumonektomie pri lécbĕ plicních onemocnĕní.