RECONSTRUCTIVE SURGERY IN LUNG-CARCINOMA

The proportion of reconstructive operations on the bronchi and trachea l bifurcation at the current level of the development of surgery for l ung carcinoma is sufficiently high. Among 2,075 lung resections parfor med at our clinic reconstructive operations were carried out in 31.6% of cases. The success of reconstructive surgery in lung carcinoma is d etermined to a great measure by the correct choice of the indications for this type of surgical treatment, preoperative management, the leve l of surgical techniques and anesthesiological service, and postoperat ive managment of the patients. Five-year survival depending on the sta ge and method of treatment after lob-, bilobectomy with resection and plastics of the bronchi and tracheal bifurcation was 28.3 - 67.4%, and after pneumonectomy with resection of the bifurcation of the trachea it ranger from 16.2 to 43.3%.