Lung transplantation: problems of lung function.
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Biomedical subjects
Publications and source records attributed to M Mezzetti.
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An aid service based on the use of helicopters for Northern Lombardy and its adjacent areas is proposed. This would be based on the Varese Hospital and on existing heliports and airports in the area, this being one of Europe's most heavily populated and industrialised regions. The question of airborne aid is discussed, together with the solutions adopted in Italy, and those proposed and partly put into effect in Italy. An examination is also made of the factors in favour of the placement proposed; geographical features, road infrastructures, distances, prevailing weather conditions, and other points. The proposal is seen as a working hypothesis available for the authorities responsible under the current legislation, and as a model for similar investigations in other areas.
Thirty-two cases of bronchial carcinoids (rate m/f = 1, average age 50.33 years) had been treated from 1970 to 1993. 62.5% of patients were symptomatic, 6% with specific symptoms. 62.5% of tumors had a central growth. Thirty-one patients underwent surgical treatment, another one a laser Nd:YAG coagulation. The operative mortality and morbidity were respectively 3% and 0%. 84.4% of tumours were typical carcinoid, 11% of those had lymphonodal metastases. Atypical carcinoids were found in 15.6% of patients, 40% had lymphnodal metastases. The global actuarial survival to 1, 5, 10 years were respectively 96, 88 and 84%. Statistically the survival difference between the typical and atypical carcinoid is relevant. The authors underline the preoperative cytologic diagnosis to perform a minimal lung resection in typical bronchial carcinoids.