[Clinico-radiologic and morphopathologic aspects of mediastinal-pulmonary hemangiopericytoma].

The paper points out the diagnosis of intrathoracic hemangiopericytoma in 13 patients in the "M.Nasta" Institute of Pneumophthisiology, a seldom seen disease considered quite serious because of its malignant form and its late finding out. This is due to its non-distinctive, small number of symptoms, which has a negative influence upon the disease prognosis and evolution.

[Mediastinal neurogenic tumors].

An analysis is presented of clinical, radiological and evolutive aspects of 106 neurogenic mediastinal tumors operated in the Clinic for Tjhoracic surgery from Bucharest. The predominance is stressed of tumours originating in the nervous sheaths (62%), and the high incidence of tumours of the nervous cells (sympatomas, ganglio-neuroblastomas) in children. An analysis is made of the various surgical aspects.

[Our experience in the surgical treatment of pleural empyema by thoracopleuroplasty].

An analysis is presented, of the experience acquired in the Clinic for Thoracic Surgery from Bucharest in the surgical treatment of thoracal empyema by the Andrews type thoracopleuroplastia. The advantages of the surgical technique are stressed, after the modifications introduced by the authors, in contrast with other surgical techniques used, such as successive-type thoracoplastia, topographical thoracoplastia, plastron removal, etc. Careful preoperative preparation is recommended, and surgical indications are indicated and the major technical and tactical principles of the intervention are described.

[Surgical treatment of endothoracic goiter].

The authors make an analysis of the experience accumulated in the Clinic for Thoracic Surgery of Bucharest as a result of the surgical treatment of 16 patients endothoracic goiters. The authors stress the fact that these goiters should be differentiated from the "plunging goiter" variety, by their symptomatology, and by the different way of approaching their treatment. The diagnostic difficulties are stressed, especially since the uptake of iodine (radioactive iodine) can be negative in the endothoracic goiter of the functional type.

[Surgical treatment of mediastinal tumors].

Based on a statistic which included 700 cases of mediastinal tumours (of which 460 underwent surgery), hospitalized in the Clinic for Thoracic Surgery of the Phtysiology Institute from Bucharest, the authors stress the particularities of the surgical interventions, which were due to particularities of the surgical interventions, which were due to particularities and extension of the tumours themselves. The mortality of 2,7 percent is explained by the careful indications for surgery, and this was due to a careful preoperative diagnosis.

[Study of the indications for surgical treatment of pleuropulmonary tuberculosis at the present time].

On a large personal experience basis the authors discuss the present stage of surgical treatment of pleuropulmonary tuberculosis. Stress is laid on the fact that, owing to technical surgical progress and continuous improving of equipments in the thoracic surgery departments, practically there are no contraindications for surgical treatment of pleuropulmonary tuberculosis provided the functional lung and heart parameters are satisfactory. It is emphasized too the requirement of a timely indication for surgery in cases of chemotherapy failures, prior to lung and heart function impairment.

[Current problems in thoracic injuries].

The authors stress the increased frequency in the recent years of single thoracic trauma and of thoracic trauma in the frame of polytraumatic lesions. The fact is stressed that the severity of thoracic trauma is usually determined by pathophysiological syndromes generated sometimes by minor anatomical lesions. An original classification is presented, of thoracic trauma, the present etiopathogenetic concept is discussed, as well as pathophysiologic syndromes consecutive to thoracic trauma.

[Indications and results of surgical treatment of the post-tuberculosis syndrome].

The post-tuberculous syndromes are more numerous and more severe following the present treatments with tuberculostatics, as compared with the past. Indications of the surgical treatment of these syndromes should be aimed at obtaining functional recovery, and they must be always adapted according to the patient's requirements. The results depend on the indications, on the technical performance, on the post-operative treatment (medical physical exercises, etc.

[Surgical treatment of bronchial adenomas].

The authors make an analysis of the experience acquired in the Clinic of Thoracic Surgery of Bucharest, based on interventions carried out in 42 cases of bronchial adenoma hospitalized between 1962 and 1976. The fact is stressed that in none of the 42 operated patients was the carcinoid syndrome encountered with any of its specific manifestations. Also on the basis of the experience obtained the bronchologic criteria for benignity of this type of tumour (absence of the infiltration in the mucosa, surrounding the tumour) is considered as non-significant because there are frequently areas of malignant transformation inside the tumour itself, or at its lower pole that cannot be explored by bronchoscopy.

[Current problems in the treatment of thoracic hydatid cysts].

The authors present the experience of the Clinic for Thoracic Surgery of Bucharest, based on a total of 1206 cases of patients operated for hydatic cysts. An original classification is presented, of human hydatidosis, the indications of surgical treatment are stressed, namely the evacuation of the hydatic membrane with the peri-cystic tissue, even in cases of evacuated and suppuratec cysts--the authors objecting to the pulmonary resection in cases of hydatic cysts. The authors have performed simultaneous bilateral interventions, associated or not with phrenotomy, in bilateral and hepatic localizations.

[Technic, indications and value of pulmonary decortications (615 operated cases)].

On the basis of their experience in 615 cases of pleuropulmonary decortication, the authors discuss the indications, contraindications, approach and procedure in pleuropulmonary decortication. Surgery has the double purpose of suppressing the empyema cavity and recovering most of the functional pulmonary parenchyma. A personal procedure was applied consisting of thoracotomy through the sixth intercostal space, then along the cleavage lines outside the limits of the empyema pouch, from the periphery towards the center at the level of the pulsatile organs, zones called the key points of pleuropulmonary decortication.

[Congenital tracheoesophageal fistula: operation and cure].

On the basis of their personal experience, covering approximately 100 cases of oeso-thoracal fistulae of various origins and with different anatomo-pathological forms, the authors present a case of oeso-tracheal fistula of congenital origin, in a child aged 4 years, that recovered after surgery. The practical aspects of surgery are stressed, as well as the sequence of surgical stages, evaluating the fact that gastrostomy should be carried out simultaneously, at the end of the thoracal intervention.

[Bronchopulmonary carcinosarcomas. Therapeutic indications].

The authors make an analysis of 11 cases of carcinosarcoma that have underwent surgery in the Clinic of Thoracic Surgery. The authors stress the rarity of these cases in their statistics. Only 11 carcinosarcomas have been identified out of a total of 2.