title: [Postoperative mortality and means of reducing it in patients with lung cancer].
abstract: The report discusses a 20 year-old experience with surgical treatment for lung cancer. In 1961-1980, the following surgical procedures were carried out in 1,100 cases of lung cancer: pneumonectomy--417 (38%), lobe- and bilobectomy--506 (46%), and exploratory thoracotomy--117 (16%). The range of indications for surgical treatment has been extended within the last 10 years; the percentage of surgical cases older than 60 years has grown from 17 to 35%, with patients older than 70 amounting to 12%. Risk of surgery for lung cancer has been reduced thanks to complex and pathogenetically-grounded therapy given before and immediately after operation as well as application of improved surgical and anesthesiologic support procedures. Among the most frequent death-causing post-operative complications were thromboembolism of the pulmonary artery, bronchial fistula, empyema of the chest and cardiopulmonary failure.
mesh_terms: D000368:Aged; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D008722:Methods; D008875:Middle Aged; D011013:Pneumonectomy; D011183:Postoperative Complications / Q000401:mortality* / Q000517:prevention & control; D013903:Thoracic Surgery
vernacular_title: Posleoperatsionnaia letalnost' i puti ee snizheniia u bol'nykh rakom legkogo.