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Przeprowadzono operacje, takie jak klinowata resekcja tchawicy, oskrzeli, mankietowe lobektomia i resekcje rozwidlenia tchawicy, klinowata resekcja bifurkacji tchawicy.
Te dane zgodne z wynikami Shigemura N. Epidemiology of lung cancer: Dominguez-Ventura A, et al. Am J Clin Nutr. J Natl Cancer Inst. Epidemiology, Risk Factors, Treatment, and Survivorship.
Vineis P, Husgafvel-Pursiainen K. Yoshino I, Maehara Y. Lung cancer is the most commonly diagnosed form of cancer and most of the more than 1. In Belarus, its annual incidence rate is second only to that of breast cancer. In this retrospective study we also evaluated the use of Bard Magnum needle tools for cutting biopsy in patients. In patients with peripheral lung lesions transthoracic needle biopsy was performed under CT- and 25 USG- control with the use of elementj needle in size 18G.
Success rate, pneumothorax rate and total procedure time were compared kubucki each method. Moreover, 12 patients with SPNs, who are diagnosed on screening chest radiographs, were undergoing video-assisted thoracoscopic electrothermal pulmonary wedge resection of lung tissue with nodules. Video-assisted thoracoscopic surgery VATS LigaSure resection and latex glue application to the cut parenchymal surface has been applied.
In addition, a retrospective analysis of the surgical treatment efficacy, based on patients operated from to in the Department of thoracic surgery of the Brest regional hospital, was accomplished. Patients with stage I and II NSCLC who were medically fit for conventional surgical resection, underwent lobectomy or greater resection and lymph node dissection based on pathologic staging.
For patients with centrally or locally advanced NSCLC in whom a complete resection can be achieved with either sgatystyki we used various types of lung resections in combination with trachea-bronchia-plastic, vascula-plastic operations and operations on a pericardium.
Politechnika Poznańska – Poznan University of Technology
There were such trachea-bronchia-plastic operations as wedge-shaped resections of the main bronchial tubes and sleeve lobectomy, wedge-shaped resections of tracheal bifurcation in combination with lobe- or bilobe- ectomy, sleeve resections of tracheal bifurcation with pneumonectomy.
The vascula-plastic operations were implemented in patients with central cancer of the left lung apex lobe when the tumour involved its segmentary arteries. Apex lobe-ectomy was done in combination with window-shaped resection of the left lung artery together with the tissues of two segmentary arteries.
The pneumonectomy combined with the resection of the pericardium was performed in lung cancer patients with present locally advanced disease which was revealed at the time of statystjki.
These reconstructive operations have allowed to save tumour unlesion lobes and to realise opportunities of operative treatment in sgatystyki with poor lung function, and poor performance status.
In patients with NSCLC who have bulky N2 disease combination platinum-based chemotherapy and radiotherapy was performed. Mantel-Cox log-rank tests were used to compare survival among the strata. According to the regional registry the lung cancer crude incidence rate among Brest region population about 1. Lung cancer morbidity per in Brest region and the Republic of Belarus.
Lung cancer mortality per in Brest region and the Republic of Belarus. Men had similar 9-fold higher death rates from lung cancer Gender differences in Brest region population in For the past decade the efficiency of diagnostics of lung cancer has considerably increased by means of radiological screening.
Histological confirmation rate of lung cancer. The kubikci of biopsies was impossible at the sizes of pulmonary nodules less than 10 mm. Histological results of biopsies are distributed as follows: Small Pneumothorax occurred in 1 patient older than 60 years and 2 patients had insignificant haemoptysis.
All complications were resolved in a conservative way. Among 12 cases with SPN who underwent LigaSure surgery the operation time was 52 minutes, hemorrhage volume — 54 mL, average chest drain duration – 2.
There were no late complications after an average follow-up of 10 months.
Stage distribution of lung cancer among patients. Mortality after diagnosis is presented in figure 6. That shows statystkyi almost half of the patients died within 6 months after the diagnosis mainly because of a high death rate in the groups with III- IV stages of lung cancer. Stage depending mortality after diagnosis of lung cancer. Age mwtematycznej structure of lung cancer mortality is shown in figure 7 that also completely displays the histogram of morbidity in different age groups.
The peak in lung cancer mortality and incidence is still determined in the age category from 60 till 70, despite the tendencies to increase of number of younger lung cancer patients. Age satystyki lung cancer mortality. Cumulative surviving after surgical treatment and survival rate differences depending on radicalism sstatystyki operations R0 – complete resection, R1 — non-radical operation is presented in figures 8. Cumulative surviving after surgical treatment.
Kaplan-Meier curves for death due to lung cancer in postoperation patients according to TNM tumor-node-metastasis stage and to amtematycznej differences are shown in fig. Stage dependent cumulative surviving rate among surgically treated patients. Gender differences of survival rate among surgically treated patients.
Median survival for all operated patients was In Brest Region cohort The reduction of the first year mortality in the whole Brest Region cohort may be explained by the increase of the number of patients who had underwent the combination elemengy platinum-based chemotherapy and radiotherapy from 5. It is also supported by other authors that surgery was associated with improved survival for both localized disease and regional disease [Schreiber D.
Moreover palliative platinum-based chemotherapy has also increased from 0. The age peak of and gender differences in lung cancer mortality have confirmed other researches that with the decrease in the prevalence of smoking, lung cancer has become more frequent among former than current smokers [Alberg A. FDG PET has greater sensitivity for the detection of metabolically active malignant disease and can lead to changes in initial staging and treatment plans for NSCLC when used in combination with conventional work-up [Eloubeidi Sattystyki.
However, currently and for the foreseeable future, peripheral pulmonary nodules are difficult to reach bronchoscopically, so we tried, by the use of imaging techniques like ultrasound and computed tomography, to fulfill the needle cutting core biopsy these nodules for exact histological diagnosis.
Moreover, our results indicate that the sealing capacity of VATS LigaSure resection plus latex glue is adequate even with large cut surface of lung tissue including bronchi larger than 3 millimeters in diameter. We support Shigemura N. It is known that minimal-access surgical procedures are expanding the applicability of surgical resection to patients with marginal operability. Video-assisted lobectomy, which is offered by a elenenty number of surgical centers, can provide a less invasive method of accomplishing the same oncologic resection with a similar long-term survival rate [Onaitis M.
As the age of the general population increases, so too does matemmatycznej mean age of patients referred for surgical resection of lung cancer [Dominguez-Ventura A, et marematycznej. As techniques for limited or less invasive resections become available, patients in their ninth decade are increasingly undergoing successful surgical resection of their lung cancers with statystjki long-term survival. Since the video-assisted LigaSure thoracic operations have been matemztycznej by us and it is also an alternative to open thoracotomy in patients with stage I NSCLC who are considered appropriate candidates for thoracoscopic anatomic lung resection lobectomy or segmentectomy.
The treatment of NSCLC is the matemztycznej for early stages, chemotherapy with concurrent radiation for some locally advanced cancers, and palliative chemotherapy for metastatic disease.
Staging remains integral and essential for management of patients with lung cancer and is paramount because the prognostic information it provides is invaluable in determining appropriate treatment [Little A.
Conclusions Lung cancer is a leading cause of cancer-related mortality and morbidity in Brest Region and Belarus.
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The chest radiography screening program of lung cancer since has allowed 2-fold increase of active diagnostics in Brest Region, but now it is necessary to carry out low-dose spiral computerized diagnostic, which is currently proposed as a much more sensitive screening tool and would detect a greater proportion of asymptomatic lung cancers. Surgical resection remains the single most consistent and successful option of the cure for patients with lung cancer, as radical surgical resection is the most important factor in long term survival.
Smoking cessation and healthy life style should be a base of prevention strategy for reduction of lung cancer mortality and morbidity [Yoshino I, Maehara Y. W pracy [Paoletti i wsp. Autorzy pracy [Urlich i wsp. Autorzy pracy [Philips i wsp.
F F [mm] Rys. Autorzy pracy [Honda i wsp. Autorzy pracy [OBrien i wsp. Autorzy pracy [Jankirman i wsp. Natomiast autorzy [Ollauson i wsp. Am J Obstet Gynecoll78, Acta Obstet Gynecol Scand.
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