RESUMEN
36 patients were operated on lung cancer (30), trachea (1), lung colon cancer metastases (1), left atrium paraganglioma, bronchogenic thymic cyst (1) and lung tuberculoma (2). Competing cardio-vascular diseases were as follows: coronary heart disease (30), valve failure (3) and critical stenosis of internal carotid artery (3). Simultaneous operations were performed in 13 (36.1%), consecutive - in 23 patients. Non-complicated postoperative period was registered in 19 patients. 6 of them had simultaneous surgery and 13 were operated on consecutively. Overall mortality rate was 8.3%; among patients operated on simultaneously it was 15.4%, among patients of the second group - 4.3%. There were no postoperative deaths among patients, operated first on cardio-vascular system.
Asunto(s)
Estenosis Carotídea/complicaciones , Enfermedades de las Válvulas Cardíacas/complicaciones , Neoplasias Pulmonares/cirugía , Neoplasias del Mediastino/cirugía , Isquemia Miocárdica/complicaciones , Adulto , Anciano , Neoplasias del Colon/patología , Femenino , Atrios Cardíacos/cirugía , Neoplasias Cardíacas/complicaciones , Neoplasias Cardíacas/cirugía , Humanos , Neoplasias Pulmonares/complicaciones , Neoplasias Pulmonares/secundario , Masculino , Quiste Mediastínico/complicaciones , Quiste Mediastínico/cirugía , Neoplasias del Mediastino/complicaciones , Persona de Mediana Edad , Paraganglioma/complicaciones , Paraganglioma/cirugía , Neoplasias de la Tráquea/complicaciones , Neoplasias de la Tráquea/cirugía , Tuberculoma/complicaciones , Tuberculoma/cirugíaRESUMEN
The study population comprised 14 patients, operated on account of colon cancer (n=2), sigmoid cancer (n=1), rectal cancer (n=6), synchronous rectal and prostatic cancer (n=1) and lung (n=1) and liver (n=2) colon cancer metastases. The diagnosed concurrent cardiovascular pathology was: coronary heart disease (n=8), valve disease (n=2), aortic aneurism (n=2), coronary heart disease combined with aortic aneurism (n=2). Simultaneous operations were performed in 3 patients, 11 patients were operated on consecutively. No deaths were registered after simultaneous operations. In the group of consecutive operations 2 patients had died of myocardial infarction and cardiac decompensation. 3 (21,4%) patients died of tumor relapse during the follow-up period. The rest 9 patients are under observation for 3 months to 10 years, 2 patients achieved a 5-year cancer-free survival time.
Asunto(s)
Enfermedades Cardiovasculares/complicaciones , Neoplasias Colorrectales/cirugía , Procedimientos Quirúrgicos del Sistema Digestivo/métodos , Anciano , Enfermedades Cardiovasculares/diagnóstico , Neoplasias Colorrectales/complicaciones , Neoplasias Colorrectales/diagnóstico , Supervivencia sin Enfermedad , Femenino , Estudios de Seguimiento , Humanos , Masculino , Persona de Mediana Edad , Estadificación de Neoplasias , Estudios Retrospectivos , Factores de Riesgo , Índice de Severidad de la Enfermedad , Factores de Tiempo , Resultado del TratamientoRESUMEN
Psychological impact of modified radical mastectomy carried out simultaneously with breast reconstruction (n=45) was compared with that in controls who underwent similar surgery for cancer alone (n=50). After 12 months, depression was less frequent in group 1 and indices such as being a good mixer, joyfulness, activity, happiness, job satisfaction and access to leisure and entertainment were significantly higher than among controls (p< or =0.05). However, deep depression persisted in group 1 (13%) as long as for 12 months and intense angst in 17.8%.