[Surgical treatment of lung cancer after myocardial infarct].
The work deals with 70 patients with lung carcinoma and ischemic heart disease and with a history of myocardial infarction. The minimal period between the infarction and the operation was 4 months. The oldest patient was 72 years of age. Patients with I (44%) and III (36%) stages of the disease prevailed. Pneumonectomy (15), lobe-bilobectomy (46), economical resection (7), and explorative thoracotomy (2) were conducted. Reconstructive-plastic organ-preserving and economical resections of the lung widen the indications for surgical treatment of patients with a history of myocardial infarction. Preoperative and postoperative management of patients is recommended. It is preferable to operate on patients with lung carcinoma and a history of myocardial infarction no earlier than 6 months after the infarction. Five-year survival among patients who underwent radical operation was 29.2%, among those treated by lobe-bilobectomy and economical resection, 42.5%, and after pneumonectomy, 18.2%.
Kharchenko
V P
VP
Chkhikvadze
V D
VD
Nechiporenko
L P
LP
D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications / Q000401:mortality / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications*; D011013:Pneumonectomy; D011183:Postoperative Complications; D013997:Time Factors
Khirurgicheskoe lechenie raka legkogo posle perenesennogo infarkta miokarda.