The spread of the tumor above the anterior surface of the mouths of the pulmonary veins in the immediate vicinity of the interatrial sulcus, we consider it to be a sign of the patient’s inoperability. To solve the problem of the […]
If there is a tumor at the root of the lung
In the case of the presence in the root of a lung tumor or a conglomerate of enlarged dense lymph nodes intimately connected with the mediastinal pleura, the latter is widely dissected outside the affected area. Moreover, if the phrenic […]
Intraoperative diagnosis. Determination of surgical intervention
This stage of surgical intervention is important, and sometimes crucial, in determining not only the tactics of surgical intervention, but also the treatment of the patient as a whole. No matter how thoroughly a preoperative examination was carried out, it is […]
In performing extended lobar resection of the lung for cancer
To perform extended lobar resection of the lung in cancer, thoracotomy from the lateral approach was used. Compared with the anterolateral approach, this access is more traumatic, it runs the risk of leaking pathological contents from the bronchi of the […]
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During surgical interventions on the lungs, several well-developed surgical approaches to the chest cavity organs are used: anterior-lateral (anterior) —in the patient’s position on the back, lateral — in the healthy side and posterior-lateral (posterior) —in the position on the […]
Extended combined resections for cancer
Enhanced combined resections for lung cancer — non-standard operations, including in this concept a number of different in character, size, and technique for performing operative techniques. The existing classifications, in our opinion, do not cover the whole variety of these surgical […]
Classification of surgical interventions
Accounting for surgical interventions, their comparative analysis, comparability of the obtained data are impossible without using in clinical and research work a single adequate classification of operations for malignant lung tumors. From our point of view, of all the many […]
The spread of tumor cells on the wall
The spread of tumor cells along the wall of the bronchus occurs predominantly in the submucosal layer and adventitious membrane. Thus, out of 29 patients who had tumor invasion, 13 (44.8%) patients, the spread of tumor cells was noted in […]
Careful excision of the lymph nodes
Careful excision of the lymph nodes and tissue of the mediastinum in lung cancer presents certain technical difficulties. This is due to the complexity of the anatomical structure of the regional lymphatic system of the lungs and the nature of […]
General principles of surgical intervention
From the standpoint of modern oncology, the most important properties of a malignant tumor, which have a decisive influence on the course and outcome of the disease, are their ability for uncontrolled, relatively autonomous, infiltrating growth and metastasis, i.e. the […]