[Use of reconstructive-plastic surgery in the treatment of lung cancer]

A detailed analysis of immediate and late results of reconstructive-plastic operations performed on 387 patients with carcinoma of the lung has been made. Lobectomy with a resection and plasty of bronchi and trachea were fulfilled in 325 patients (84,0 %) and pneumonectomy with a resection of the trachea bifurcation--in 62 patients (16,0 %) with carcinoma of the lung. The authors have studied the question of performing reconstructive-plastic operations for the combined treatment of carcinoma of the lung on 281 patients (72,6 %). The postoperative lethality following pneumonectomy (9,7 %) was not higher than after routine resections of the lung. A 5-year, 10-year and 15-year survival after lobectomy with a resection and plasty of the bronchi and trachea was 60,7. 41,8 and 30,3 % respectively. After pneumonectomy with a resection of the trachea bifurcation the 5-year survival was 20,4 %, 10-year survival was 4 out of 25 patient. Three of 7 patients survived for 15 years. The combined treatment of the lung carcinoma was found to give better results.