Khirurgii͡a
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The choice between the limited pulmonary resection and the standard anatomical resection depends on many factors. The most important are the tumor size, age and general condition of the patient. ⋯ We conclude that the limited resection for patients with non-small cell lung cancer-IA stage is associated with a lower 5-year survival, but less complications, which makes it suitable for elderly and compromised patients.
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Spontaneous pneumomediastinum (SPM) is an uncommon, benign, self-limited disorder that usually occurs in young adults without any apparent precipitating factor or disease. The purpose of this study was to review our experience in dealing with this entity and detail a reasonable course of assessment and management. A retrospective case series of 4 patients with SPM were diagnosed and treated in a Thoraci Surgery Department at Saint Sofia Pulmonary Hospital between 2000 and 2006. ⋯ Chest X-ray and CT scan should be always performed. Hospitalization and aggressive approach should be limited. SPM responds well to conservative treatment and follows a benign natural course.