Stenting of the tracheo-bronchial tree

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SURGICAL RESECTION FOR T4 TUMOR IN NON-SMALL CELL LUNG CANCER H. Yoshimura, J. Shinada, Y. Abe, T. Koh, A. Ishihara Dept. of Thoracic Surgery, Kitasato University School of Medicine, Kanagawa, Japan

TREATMENT OF SMALLCELLLUG CANCER Zejian Li, Hua Ren, Zhiyong Zhaug, Chengfu Sun, Letian Xu, Hongquan Yti Longyun Li, Juechu Zhou, Hongzhen Yaa and Hongrui Liu Peking Medical College Hospital, Beijing, China 100730 During a 2Eyear period, 110 patients with small cell lung caucer were treated in the PLMC Hospital. 59 patients underwent surgery,in which 37 patients received chemotherapy and radiothrapy postoperatively, comprising the multimodal treatment group. 11 patients did not receive adjuvant therapy except surgery, which comprised the single resected 58 patients received group. chemotherapy and/or radiotherapy only. The 5-year survival rate of total cases was 7.5% 17% in the surgically treated group. None in the non-surgical group survived for more than 5 years. We suggest that adjuvant surgical resection after chemo- radiotherapy is first choice of the treatment for small cell lung cancer.

37 tumors classified as T4 NSCLC were surgically resected in our institution until1 September 1990. There were 9 adenocarcinoma (Ad), 26 squamous cell carcinoma (Sq) and 2 large cell carcinoma (La). 7 out of 9 patients with Ad showed pleural dis-seminations, 1 had a tumor invading the SVC and 1 invading the aortic wall. In most patients with Sq and 2 of 2 patients with La, the tumors had invaded into the heart and/or great vessels. There were 4 NO diseases, 10 N1 diseases and 24 N2 diseases. In 24 out of 29 T4Q patients with Sq complete resection could be carried out, and 5 year survival in those patients was 26.3%. However, in the other 5 patients incomplete resection were performed, and no patients survived more than 2 years (~(0.1). In patients with Ad there were no patients whom complete resection could be performed. In 7 patients with T4Mo Ad incomplete resection were performed, aid 5 year survival in those 5 patients was 27.0% (p
292

291 "STENTING

OF THE TRACHEO-BRONCHIAL Tedeusz

H. OrIouski

Medical Academyof Wrwtaw, kpartnent 105 Grabisrykka

str.,

TREE"

of Thocacic Surgery

53-439 WROCtAW, Poland

CLOSURE

OF

THE

WITH T.M.

Orhwski,

Oepartament

BRONCHIAL

K.Oudek,

of Thoracic

105 Grabiszynska 62.caasa with maligmnt obstruction of the trachea-bronchial traa ti restored the patency of respiratory tract with proathassa are reported. Thias mathod -rage the wider application as far as allowa to manage even such caaas in which any otharRs+hoocanmtseuse. The original mathod of the andosccplc intubatiOo is presented. It allw precisely with visual control to introduce the stat to my part of the trarhao-bronchialtree. ma two defier& orginal prcethases wars used. In everycasegmd WUlts Of ensuring thepatency oi respirataPy tract uere obtained. A ieu carplicaticns concerning tiw dislocation of the prosthesis were observed. They ocurred at the b8ginillE period rhsn the rules of intubaticm were Mt available. Since the indication far stentlng were well established such cnpllcatlms are not observed. In met of cases the neoplastic prmese affected me of the lungs 03 cas.¶s), in remaining - trachea (22 cases), asopha~S and thyms with infiltration of the trachea-bmochial tree (7 cases). In all patients a rwd i&late effect was observed. Braathlsadisappeared. inflaeatory lesions retracted. atelactatic re&um of the lungs reexpanded. Capared to other palliative lmthods it is mly 1ntubation that can provide a carplate so1lJtio-l of tw pmblml.mia mathcd not onlyenables therestoration of patency Of thebrc.-Chial tree but prevents ii-m!raourranca of the stemais.

Bronchial

closing

M.Kaleta

439 wroclaw,

post pnewonectomy

after surgical

is extremely

poland

results

treatment.

sanetimes

with

in

Idiopathic

rare while surgical

and CMnehd

difficult

FISTULA

Surgery

str.,PL-53

fistula

complications

STUMP

SEALENT

FIBRIN

treatment

is

the necessity

operation. Therefore, attempts of conservative treatment

of extensive

been undertaken. administered Ihe procedure Patients

the fibrin sealent

into fistula was repeated

were treated

techniques were

Hence,

Preventing

introduced.

by means

have

was

of bronchoscope.

2 - 6 times.

Twelve

on this way. Own original expectoration

of fibrin plaque

In all cases closure

of the fistula

was obtained. good results new method.

encourage

wider usage of this still