SURGICAL TREATMENT OF PATIENTS WITH LUNG CANCER INVOLVING MEDIASTINUM ORGANS WITH MASSIVE INVASION IN THE THORACIC AORTA BY USING THE EXTRACORPOREAL CIRCULATION

Abstract

The patients (11 cases) with massive invasion in the thoracic aorta have been operated in the period from 2002 till 2010. The tumor of left lung was diagnosed in 9 cases and tumor of the mediastinum — in 2 cases. Prosthetics of the arch of aorta was performed under condition of artificial circulation in 6 cases. The prosthetics of the descending aorta was performed in 5 cases. A condition of artificial circulation was partially used in 1 case, fully used in one and the assist circulation was applied in 3 cases. The hospital lethality consisted of 4 patients. The common number of patients with severe hospital complications was 5. The survival of one-, two- or three — year estimated 36,4±14,5%, 18,2±11,6% and 0% respectively. A median of survival was 1,63 months. The remaining 7 patients died in a long-term period. The cause of death was a progress of tumor process in vast majority of cases.

Keywords

• рак лёгкого
• рак вилочковой железы
• грудная аорта
• хирургическое лечение
• lung cancer
• thymus gland cancer
• thoracic aorta
• surgery