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肿瘤手术中的支气管成形术(作者译)

[Bronchoplasty in tumor surgery (author's transl)].

作者信息

Keszler P

出版信息

Thoraxchir Vask Chir. 1976 Dec;24(6):439-46. doi: 10.1055/s-0028-1095910.

Abstract

A series of 80 bronchial resections and other broncho-plasties is presented; 60 operations were performed on the right side, while only 20 on the left side. The most frequent variation was the "sleeve lobectomy" (upper lobe with main bronchus). The attention is called to other possibilities so as: the reinplantation of the middle lobe after removal of the lower lobe and the intermede bronchus, the anastomosis between the left main bronchus and the upper lobe bronchus when the dividsion of the main bronchus must be removed together with the lower lobe, the repair of the continuity on the right side by means of a double anastomosis etc. Lethal postoperative complications occurred in 7 cases; 29 patients died in consequence of recidives or metastases and 44 are alive (22 more than 3 years, 8 more than 5 years). These procedures may significantly enlarge the resectability of the cancer in old patients and in those with limited respiratory reserve.

摘要

本文介绍了一系列80例支气管切除术及其他支气管成形术;其中60例手术在右侧进行,而左侧仅20例。最常见的术式是“袖状肺叶切除术”(上叶伴主支气管)。还提及了其他可能性,如下叶及中间支气管切除术后中叶的再植术;当主支气管的分支必须与下叶一并切除时,左主支气管与上叶支气管之间的吻合术;通过双重吻合术修复右侧的连续性等。术后发生致命并发症7例;29例患者因复发或转移死亡,44例存活(22例存活超过3年,8例存活超过5年)。这些手术可显著扩大老年患者及呼吸储备有限患者的癌症可切除性。

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