[Extensive and combined operations of lung cancer]

Two hundred and eighteen patients were operated upon with the postoperative mortality in 15.2%. Among those who died at the hospital the operation was not radical enough in 34.9%. Distinguishing between extensive and combined operations seems to be warranted due to different postoperative mortality and, mainly, due to better late results following the combined operations. A 3-year survival for the whole group-16%, a 5-year survival - 10.3%. In patients with metastases a 3-year survival - 6.3%, a 5-year survival - 6.25%, without metastases a 3-year survival - 24.5%, a 5-year survival - 15.4%. Extensive and combined operations are warranted irrespective of the histological tumor structure in cases without any metastases in lymph nodes, but only in squamous cell cancer with lymph node metastases. Taking account of an unfavourable prognosis these operations should be referred to as conventionally radical.