Креативная хирургия и онкология (Jan 2017)
CHEMOTHERAPY INFUSION INTO THE BRONCHIAL ARTERY IN THE COMBINED TREATMENT OF THE NON-SMAL CELL LUNG CANCER OF III STAGE
Abstract
IThe results of neoadjuvant chemotherapy of 50 patients with small cell lung cancer were analyzed. At 11 (22 %) patients at the primary reference took place atelectasis the struck share or all lung. To all patients it has been lead on two cycles neoadjuvant chemotherapy. After one rate of chemotherapy at 21 (42 %) patients note partial regress of process. After 2х rates of chemotherapy at 38 (76 %) patients note partial regress of process. From 50 patients are subjected to surgical treatment 35 (70 %) patients. From 35 operated patients in 25 cases it is made expanded pulmonectomy, and 10 cases combination expanded pulmonectomy with a resection of a pericardium with intrapericardial, separate processing of vessels of a root of a lung. Application citostatics in a mode of intraarterial introduction can improve direct results of treatment on 10-15 % that will enable effectively to finish treatment under the chosen program.
Keywords