[Organ-sparing surgery in cancer of the lung]

Indications for different variants of functionally sparing operations in carcinoma of the lung were determined from study of the long term results. Comparison of 5-year survival after pneumonectomy and lobectomy showed the adequacy of the latter in advancement of T1-2N0M0 tumor (39.7% and 37.0%). In T1-2N2M0, these values were 35.7% and 34.5%, respectively. The indications for the type of bronchial resection and lobectomy (wedge, sleeve) were specified depending on the level of the neoplastic lesion of the bronchi and the condition of the intrathoracic lymph nodes. The problem of sublobar lung resections (segmentectomy, wedge, marginal) in early forms of peripheral carcinoma is discussed. The high efficacy of endoscopic removal of early forms of central carcinoma of the lung is shown on the basis of analysis of 54 cases.