Who, how and where should treat a patient with surgical complications of lung cancer (organizational, diagnostic, therapeutic, socio-ethical aspects)?

Abstract

The Objectivewas to discuss various aspects (organizational, diagnostic, therapeutic and socio-ethical) of care for patients with surgical complications of lung cancer and the role of thoracic surgeon in the management of these patients. Different problematic issues of the management of patients with surgical complications of lung cancer (pneumothorax, pulmonary hemorrhage, paracancrotic abscess, pleural empyema) directed to the department of general thoracic surgery are presented. Various aspects of the management of patients with surgical complications of lung cancer are considered: organizational, diagnostic, therapeutic, social and ethical. The implementation of the presented aspects requires the training of specialists: thoracic surgeons in oncology and the technique of interventions, taking into account the principles of oncological radicalism, oncologists in the features of infectious postoperative complications. Improving the treatment and diagnostic approach in this category of patients will extend the life of those of them in whom radical surgical, chemotherapeutic and radiation treatment is impossible. Recognition of patients as palliative does not mean the cessation of emergency measures to save them from life-threatening complications. The problem can be solved with the participation of thoracic surgeons, oncologists, healthcare organizers.

Keywords

• healthcare organization
• lung cancer complications
• pneumothorax
• paracancrotic abscess
• empyema of the pleura