[The complications of pulmonary resection treatment of lung cancer]. / The complications of pulmonary resection treatment of lung cancer.

This article discusses the complications of the pulmonary resection treatment in lung cancer. A significant decrease in incidence of cardiovascular and respiratory complications has already been achieved during the last decades. However, infectious complications, mainly pneumonias and postpneumonectomy empyemas still remain and belong among treacherous complications which are often associated with significant mortality. This article devotes special attention to the possibilities of influencing and decreasing the incidence of these complications.

[Management of malignant pleural diseases]. / Management of malignant pleural diseases.

Pleural effusions are the oldest indication of the thoracoscopic treatment. They represent the terminal state of malignancy and the aim of the treatment is palliative. The most effective is the thoracoscopic procedure in general anaesthesia with one lung ventilation and application of talc powder. We have been using videothoracoscopy in such cases since 1993 and we have treated more than 700 patients. The thoracoscopic procedure was successful in 70% of cases.

[Tracheal stenosis and its treatment]. / Stenóza trachey a jej liecba.

A group of 89 patients suffering from tracheostenosis was studied in the period from January 1990 to January 1999. Surgical procedure on trachea was performed in 63 patients with postintubation (posttracheostomic) stenosis, in 6 patients with direct tracheal trauma, in 9 with tracheoesophageal fistula, in 7 with malignant stenosis, in 3 with postinflammatory subglottic stenosis. In the treatment of tracheal stenosis a set of methods was used ranging from laser and tracheal endoproteses, through cartilage implantation and plastic reconstruction of tracheal defects to extensive segmental resections. In a group of 50 patients with segmental resection in 43 (%) of them the result was good, in 2 (4%) of them satisfying, in 4 (8%) of them temporary brace (on T-cannule) persists, 1 patient died in postoperative period (2%). In a group of 39 patients with combined conservative treatment in 18 patients good results were reached (43.8%), in 6 satisfying (15.4%), in 13 of them temporary brace (on T-cannule) persists (33.3%) and 2 died in postoperative period (5.1%). In conclusion the results of this work suggest that the most frequent indication for surgical treatment is postintubation (postracheostomy) stenosis and that segmental trachea resection has priority in the treatment of tracheal stenoses. (Tab. 2, Ref. 18.)

[Surgical complications of tracheal intubation--tracheal rupture]. / Chirurgická komplikácia tracheálnej intubácie--ruptúra trachey.

Authors present case report of 47-year-old woman with a rupture of trachea in its lower part after an intubation with a double-lumen tube without any problems. Tracheal lesion was discovered at the end of operation after an extirpation of mediastinal tumor and wedge resection of lung during the examination of hermeticity of lung mechanical suture. Rupture was cured by suture resorbable monofilamental material. Development after operation wasn't any different than a common lung resection. In the lecture authors discuss the possible causes of tracheal rupture, different kinds of therapy, and complications.