Geints V. Long-term results of pneumonectomy of pulmonary tuberculosis and chronic nonspecific lung diseases patients in 20 or more years after operation (clinical and functional characteristics)

The dissertation is dedicated to the topical question of thoracic surgery - the increase of effectiveness of surgical treatment of lung-diseased patients with pneumonectomy application on the basis of optimization of post-pneumonectomy syndrome course in the long-term postoperative period. Principal problematic aspects of clinic-functional state and patients' life quality after pneumonectomy, constituting the post-pneumonectomy syndrome, having as the main problem mediastinal herniation (diagnosticated in 81,1 % cases), were singled out on the basis of complete census of 132 patients. Preventive measures were developed to reduce the influence of post-pneumonectomy syndrome, decreasing the nascence of mediastinal herniation in 24,5 % cases, high-riding diaphragm in 10,1 % cases and esophagus' dislocation in 4,3 %.