[Bronchoplastic operations for lung cancer].
Objective of our work was to evaluate efficacy of bronchoplastic operations for lung cancer and time to progression in combined treatment. From 1997 till 2001, 57pts were operated for early I-IIB stages of lung cancer. Operations were: tracheal resections in 3pts (5.2%), window right pneumonectomies in 5pts (8.7%), window left pneumonectomies in 2pts (3.5%), window right upper lobe in 22pts (38.5%), bifurcation resections 2pts (3.5%), sleeve right upper lobe resections 7pts (12.2%), sleeve left upper lobe resections in 11pts (19.2%). We had complications: in 7pts (12.2%) suture failure, 26pts (45.6%) obstructive pneumonia, 3pts (5.2%) kinking of anastomosis, 2pts (3.7%) bronchial bleeding, 6pts (10.5%) covered bronchial fistulas, 5pts (8.7%) died after operations.


RESULTS
32pts (56%) underwent radiation after surgery, 13pts (22.8%) radiation and chemotherapy. Three-year survival was in 82.4% (47pts), in 10pts (17.4%) disease progressed.


CONCLUSIONS
1. Bronchoplastic operations are sufficient for early lung cancer treatment. 2. Three-year was in survival 82.7% of pts. Seventeen percent of patients failed after combined treatment.
Cicenas
Saulius
S
Department of Thoracic Surgery, Institute of Oncology, Vilnius University, Santariskiu 1, 2600 Vilnius, Lithuania.
Naujokaitis
Pranciskus
P
Jackevicius
Algirdas
A
Piscikas
Dainius
D
Krasauskas
Arnoldas
A
Tikuisis
Renatas
R
D001980:Bronchi / Q000601:surgery; D017024:Chemotherapy, Adjuvant; D003131:Combined Modality Therapy; D003627:Data Interpretation, Statistical; D018450:Disease Progression; D005260:Female; D006801:Humans; D008168:Lung / Q000473:pathology; D008175:Lung Neoplasms / Q000188:drug therapy / Q000401:mortality / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery*; D008207:Lymphatic Metastasis / Q000532:radiotherapy; D008297:Male; D009367:Neoplasm Staging; D011013:Pneumonectomy / Q000379:methods*; D011183:Postoperative Complications; D018714:Radiotherapy, Adjuvant; D016019:Survival Analysis; D013997:Time Factors; D014132:Trachea / Q000601:surgery