[Combined surgical treatment of malignant lung tumors]

Two hundred-sixty four radical combined surgical operations (237 pneumonectomies and 27 lobectomies) were performed in 1981-1994. Two hundred-fifty four patients were operated on for cancer, 7-carcinoid and 3 patients for sarcoma. In 159 cases, tumors were identified as T3 and in 70 cases--as T4. Metastases into lymph nodes of the root and mediastinum--another 121 patients. Surgery alone was received by 90.5%. Mortality for the first 30 days was 1.9%. Twenty-six percent of patients with non-small cell carcinoma survived 5 years, small cell carcinoma-12.5% and carcinoid-100%. No significant difference in survival time was registered for T3 and T4 process.