title: [Surgical tactics in bilateral resections of the lungs].
abstract: The article generalizes experience in 118 bilateral resections of the lungs carried out within 4 years at the Chelyabinsk Regional Antituberculosis Hospital, among which 63% (74) were one-stage bilateral operations. A clinical effect was produced in 97.5% of patients. Postoperative mortality was 1.7%. The authors prefer one-stage bilateral resections and resort to stage-by-stage operations only in cases with severe concomitant diseases, marked respiratory insufficiency, in a large volume of the resection, particularly if it is combined with thoracoplasty. A transsternal approach in one-stage bilateral resections is indicated when the upper parts of the lung must be resected in a large volume, in cases in which difficulties in exposure of the lungs are not expected; one-stage opening of both pleural sacs is recommended in this case for adequate inspection of the lungs before their resection.
authors.forename: B M
authors.initials: BM
authors.lastname: Giller
authors.forename: D B
authors.initials: DB
authors.lastname: Giller
authors.forename: M Iu
authors.initials: MIu
authors.lastname: Maksimov
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy / Q000379:methods*; D014397:Tuberculosis, Pulmonary / Q000601:surgery*
vernacular_title: Aspekty khirurgicheskoĭ taktiki pri dvustoronnykh rezektsiiakh legkikh.