pulmoПульмонологияPULMONOLOGIYA0869-01892541-9617Scientific and Practical Journal “PULMONOLOGIYA” LLCpulmo-2477Research ArticleОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯORIGINAL STUDIESСовременная тактика торакальной хирургии при лечении больных раком легкогоModern thoracic surgery in lung carcinomaВексП.WexP.

74245, Левенштайн

ХаасВ.HaasV.

74245, Левенштайн

УттаЕ.UttaE.

74245, Левенштайн

Клиника Левенштайн, Центр пневмологии, торакальной и сосудистой хирургииGermany200417082021062125Copyright © Векс П., Хаас В., Утта Е., 20212021Векс П., Хаас В., Утта Е.Wex P., Haas V., Utta E.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.pulmonology.ru/pulm/article/view/2477

2 268 пациентов в период между 1990 и 2000 гг. были оперированы по поводу карциномы легкого. У 100 пациентов (3,5 %) были проведены повторные операции. Летальность в больничных условиях составила 9 %. В 20 % случаев атипичные и сегментные резекции легкого привели к локальным рецидивам. Размер вмешательства не влиял на продолжительность жизни в перспективе. Чем больше был интервал времени между первичным и последующими вмешательствами, тем более благоприятным был долговременный прогноз. Пациенты с метахронными опухолями имеют лучший прогноз, по сравнению с пациентами, имеющими локальный рецидив опухоли. Синхронные и солитарные первичные опухоли имеют плохой, прогноз, и их следует рассматривать как опухоли, дающие ранние метастазы.

2,268 patients were operated for lung carcinoma in the period from 1990 to 2000. One hundred patients (3.5 %) were operated repeatedly. Hospital mortality was 9 %. Atypical and segment resections caused local relapses in 20 %. The intervention volume did not effect the perspective life expectancy. Longer period between primary and subsequent interventions was associated with better long-term prognosis. Patients with metachronous tumors had better prognosis when compared with patients having local relapses of a tumor. Synchronous and solitary primary tumors had poor prognosis, thus, they should be considered as early-metastasizing tumors.

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The authors declare that there are no conflicts of interest present.