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Davydov M.I.

Federal state budgetary institution «N.N. Blokhin Russian Cancer Research Center», Ministry of Health of the Russian Federation, Moscow, Russia

Akchurin R.S.

FGBU National medical research cardiology center of Russia, Moscow, Russia

Gerasimov S.S.

N.N. Blokhin Russian Cancer Research Center, Moscow, Russia

Brand Ya.B.

Institut im. N.V. Sklifosovskogo, Moskva

Dolgov I.M.

Nauchno-issledovatel'skiĭ institut skoroĭ pomoshchi im. N.V. Sklifosovskogo, Moskva

The surgical treatment of patients with lung cancer and severe cardiovascular disorders

Authors:

Davydov M.I., Akchurin R.S., Gerasimov S.S., Brand Ya.B., Dolgov I.M.

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Journal: Pirogov Russian Journal of Surgery. 2012;(7): 18‑26

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To cite this article:

Davydov MI, Akchurin RS, Gerasimov SS, Brand YaB, Dolgov IM. The surgical treatment of patients with lung cancer and severe cardiovascular disorders. Pirogov Russian Journal of Surgery. 2012;(7):18‑26. (In Russ.)

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During the period of 1991-2010 yy 51 patients with lung cancrs were operated on the severe cardiovascular diseases (IHD - 90%; critical carotid stenosis - 6%; tricuspidal valve failure - 2% and the combination of the IHD and aortic valve failure - 2%). Lung cancer steged I in 17 (33.3%) patients, II in 15 (29.4%); III - in 16 (31.4%) and IV in 3 (5.9%) patients. 33 patients of 51 were radically operated on lung cancer, palliative resections were performed in 3; trial thoracotomies were performed in 2 patients. 8 (15.7%) patients were operated on simultaneously. The complicated postoperative period was registered in 22 (57.9%) patients of 38 with exitus lethalis in 2 cases. The complication rate after simultaneous operation was 62.5% with lethality of 12.5%, whereas by the consecutive operations the complication rate was 56.7% with lethality of 3.3%, Nevertheless, surgical correction of the severe concurrent cardiovascular pathology flares the range of operable patients with lung cancer.

Keywords:

lung cancer
ischemic heart disease
ischemic brain disease
heart valve failur

Authors:

Davydov M.I.

Federal state budgetary institution «N.N. Blokhin Russian Cancer Research Center», Ministry of Health of the Russian Federation, Moscow, Russia

Akchurin R.S.

FGBU National medical research cardiology center of Russia, Moscow, Russia

Gerasimov S.S.

N.N. Blokhin Russian Cancer Research Center, Moscow, Russia

Brand Ya.B.

Institut im. N.V. Sklifosovskogo, Moskva

Dolgov I.M.

Nauchno-issledovatel'skiĭ institut skoroĭ pomoshchi im. N.V. Sklifosovskogo, Moskva

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