title: [Surgical treatment of patients with lung cancer involving mediastinum organs with massive invasion in the thoracic aorta by using the extracorporeal circulation].
abstract: The patients (11 cases) with massive invasion in the thoracic aorta have been operated in the period from 2002 till 2010. The tumor of left lung was diagnosed in 9 cases and tumor of the mediastinum--in 2 cases. Prosthetics of the arch of aorta was performed under condition of artificial circulation in 6 cases. The prosthetics of the descending aorta was performed in 5 cases. A condition of artificial circulation was partially used in 1 case, fully used in one and the assist circulation was applied in 3 cases. The hospital lethality consisted of 4 patients. The common number of patients with severe hospital complications was 5. The survival of one-, two- or three--year estimated 36.4 +/- 14.5%, 18.2 +/-11.6% and 0% respectively. A median of survival was 1,63 months. The remaining 7 patients died in a long-term period. The cause of death was a progress of tumor process in vast majority of cases.
authors.forename: V V
authors.initials: VV
authors.lastname: Andrushchuk
authors.forename: V V
authors.initials: VV
authors.lastname: Zharkov
authors.forename: Iu P
authors.initials: IuP
authors.lastname: Ostrovskiĭ
authors.forename: S A
authors.initials: SA
authors.lastname: Kurganovich
authors.forename: T T
authors.initials: TT
authors.lastname: Gevorkian
authors.forename: S A
authors.initials: SA
authors.lastname: Es'kov
authors.forename: V O
authors.initials: VO
authors.lastname: Odintsov
authors.forename: N M
authors.initials: NM
authors.lastname: Novitskaia
mesh_terms: D000368:Aged; D001013:Aorta, Thoracic / Q000473:pathology / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000379:methods; D005112:Extracorporeal Circulation / Q000379:methods*; D005260:Female; D006801:Humans; D007430:Intraoperative Care / Q000379:methods; D053208:Kaplan-Meier Estimate; D008175:Lung Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery; D008297:Male; D008479:Mediastinal Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D011013:Pneumonectomy / Q000379:methods*; D011183:Postoperative Complications / Q000517:prevention & control*; D016896:Treatment Outcome