[Pleuro-pneumonectomy in the treatment of XXXX complicated with diffuse @entity3 and @entity3483 ].

@entity1 @entity662 @entity1353 @entity5 @entity2 @entity260 @entity3 @entity3483
BACKGROUND: According to the international standard in TNM staging of @entity2 , @entity2 complicated with diffuse @entity3 and @entity3483 belongs to IIIB stage. In the past, non-operative therapy was employed, but both the therapeutic efficacy and the quality of life of @entity1 were poor. The purpose of this study is to find out a complex treatment for this disease. METHODS: Total pleuro-pneumonectomy was performed in 55 cases of @entity1 with @entity2 complicated with diffuse @entity3 and @entity3483 from December 1978 to February 2003. The @entity1 were followed up postoperatively, and the quality of life and survival period of them were observed. RESULTS: In all the cases, only 2 @entity1 died of operation. Satisfactory recovery and remarkable relief of symptoms such as @entity1353 , @entity1353 and @entity662 were found in all the other @entity1 . After a follow-up period of 1-25 years, local recurrence was found in 6 cases (11.3%), and distant @entity3 in 42 cases (79.2%). A total of 48 @entity1 died of @entity5 , with survival period ranging from 5-40 months (average survival period: 15 months; median survival period: 14 months), and 5 @entity1 were still alive in good health. CONCLUSIONS: (1) @entity1 appropriated for operation should be carefully selected in case that @entity260 influence their smooth recovery; (2) @entity5 tissues should be removed as clear as possible; (3) During the operation, close attention should be paid to the protection of incisions; (4) Removal of the @entity5 tissues can reduce the @entity5 load, effectively clean the immunosuppressive factors in @entity3483 , and break the immunity block status, which provides basis for the following comprehensive therapy; (5) The quality of life of the @entity1 can be improved and the median survival period can be prolonged by the operation; (6) The long-term survival rate of @entity1 is still unsatisfactory.
