title: [Bronchus cancer - surgery].
abstract: Of 9,000 patients with bronchus carcinoma observed during 1958-1980, 3.041 (33%) underwent resection. Although in principle the standard operations are lobectomy for the peripheral and bilobectomy or pneumonectomy for the central carcinoma, parenchyma-saving operations such as clamping or segmental resection or main bronchus resection are justified under certain conditions; however, here all regional lymph nodes have to be removed again. We consider the surgical indication of small-celled carcinoma like any other form of bronchus carcinoma. For stage I, the 5-year survival chance is 40% - 50%, for all stages only 20%. Extended resections including pericardium, large vessels, thoracic wall, trachea, upper thoracic aperture, are justified especially in symptomatic cases, although the 5-year survival rate is less than 10% in these cases.
mesh_terms: D002283:Carcinoma, Bronchogenic / Q000473:pathology / Q000601:surgery*; D018288:Carcinoma, Small Cell / Q000473:pathology / Q000601:surgery; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology; D008197:Lymph Node Excision; D009367:Neoplasm Staging; D010178:Pancoast Syndrome / Q000601:surgery; D011013:Pneumonectomy
vernacular_title: Bronchuscarcinom-Chururgie.