[Isolated and perfused lung of the guinea pig].
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New guinea
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Objective:To explore clinical effects of pneumectomy in single tuberculosis destroyed lung.Methods:To analyses 25 cases clinical materials of destroyed lung retrospectively and summarize the anesthesia and operation approach.Results:The time of removing eurge pipe is from 4 days to 9 days,the average is 5 days;the hospitalization time is from 12days to 25 days,the average is 18 days;the sputum bacteria of 8 cases tuberculosis destroyed lung become negative in the postoperation.the complications are empyema and brochusofistula and haemorrhage in the postoperation,but no patient is die.Conclusion:It is an safe and reliable approach that pneumectomy treat single tuberculosis destroyed lung,but prevent postoperative complications positively.
Lung infection
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We reported a 23-year-old female, 2 months pregnant presented with cough and blood streaked sputum (Hemoptysis) since two weeks ago. Chest CT scan showed simultaneous multiple cystic lesions in the lungs and heart. After therapeutic abortion, the patient was operated via median sternotomy incision and all hydatid cysts were extracted of the lung and heart. The patient was discharged after one week with good condition. The abdominal and pelvic sonography of the patient was also normal with no cystic lesions. No endo-bronchial lesions or malignant cells were reported in bronchoscopy
Left lung
Hydatid cyst
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This study aimed to evaluate the clinical benefits and risks of CT-guided percutaneous transthoracic needle lung biopsies (PTNBs) in patients with a suspected pulmonary infection.This study included 351 CT-guided PTNBs performed in 342 patients (mean age, 58.9 years [range, 17-91 years]) with suspected pulmonary infection from January 2010 to December 2016. The proportion of biopsies that revealed the causative organism for pulmonary infection and that influenced patient's treatment were measured. Multivariate analyses were performed to identify factors associated with PTNB that revealed the causative organism or affected the treatment. Finally, the complication rate was measured.CT-guided PTNB revealed the causative organism in 32.5% of biopsies (114/351). The presence of necrotic components in the lesion (odds ratio [OR], 1.7; 95% confidence interval [CI], 1.1-2.7; p = 0.028), suspected pulmonary tuberculosis (OR, 2.0; 95% CI, 1.2-3.5; p = 0.010), and fine needle aspiration (OR, 2.5; 95% CI, 1.1-5.8; p = 0.037) were factors associated with biopsies that revealed the causative organism. PTNB influenced patient's treatment in 40.7% (143/351) of biopsies. The absence of leukocytosis (OR, 1.9; 95% CI, 1.0-3.7; p = 0.049), presence of a necrotic component in the lesion (OR, 2.4; 95% CI, 1.5-3.8; p < 0.001), and suspected tuberculosis (OR, 1.7; 95% CI, 1.0-2.8; p = 0.040) were factors associated with biopsies that influenced the treatment. The overall complication rate of PTNB was 19% (65/351).In patients with suspected pulmonary infection, approximately 30-40% of CT-guided PTNBs revealed the causative organism or affected the treatment. The complication rate of PTNB for suspected pulmonary infection was relatively low.
Leukocytosis
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We report a rare case of cutaneous metastatic small cell lung carcinoma of the upper lip in a 73-year-old man, which was excised and the defect repaired with a single advancement flap from the cheek. The prognosis of such lesions is poor, and the incidence of other metastases elsewhere is high. The aim of treatment was to give him optimal quality of life for the short time left. The patient died of his primary disease four months later.
Cheek
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Background: Anatomical lung resection offers the best chance of cure for patients with localized lung cancer.Very often late diagnoses, advanced stage of the disease limit radical anatomical surgical resection.Use of neoadjuvant chemotherapy made some of the cases operable, and later they were surgically treated.Aim: to evaluate early (surgical) complications at patients with neoadjuvant therapy. Material and Methods:We compare 36 patients surgically treated with lung resection, before treated with neoadjuvant chemotherapy (3 to 6 cycles with platinum based regiments under protocol) with 42 patients surgically treated without neoadjuvant chemotherapy, in the same period, in the 2009 and 2010.Results: At the group with neoadjuvant chemotherapy we register more intraoperative and early postoperative complications as: bleeding 10 vs. 7, p=0.63, changes in lung vessels 3 vs.0, p=0.8, prolonged air leak 9 vs. 6, p=0.63, stump fistula (at pneumectomy patients) 2 vs. 0, p=0.76, pneumonia 9 vs. 3, p=0.86,wound infection 2 vs 0, p=0.73, atelectasis 8 vs. 2, p=0.88, prolonged pleural drainage 10 vs. 4, p=0.87.There, also, was no difference in 30 days mortality rate between groups. Conclusions:Neoadjuvant therapy increased theperioperative complications in this group of patients compared with a similar group undergoing anatomical lung resection in the same institution.The most common complication in patients receiving induction chemotherapy was detected at the group with neoadjuvant chemotherapy.Strategies to prevent these complications will be important, especially if chemotherapy before resection becomes the standard for all patients with non-small cell lung cancer. OPEN
Neoadjuvant Therapy
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