Fujimura S
Tohoku Welfare Pension Hospital, Sendai, Japan.
Kyobu Geka. 2001 Jul;54(8 Suppl):707-14.
In recent years limited operations including wedge resection, segmentectomy and simple lobectomy are getting increased as a treatment of choice for non-small cell lung cancer (NSCLC). However, surgery for lung cancer should be emphasized in terms of postoperative quality of life as well as complete resection or radical resection of the tumor. There have been few number of randomized controlled trials as to limited operation of lung cancer. Thus this kind of procedures such as wedge resection and segmentectomy for stage I NSCLC, and thoracoscopic lobectomy for stage I lung cancer, is not generally evaluated as an alternative treatment to the standard operation at the present time. In this paper current status of limited surgery for lung cancer is reviewed mainly based on recent literatures and results obtained from our experience in Institute of Development Aging and Cancer, Tohoku University.
近年来,包括楔形切除术、肺段切除术和单纯肺叶切除术在内的有限手术作为非小细胞肺癌(NSCLC)的首选治疗方法正在增加。然而,肺癌手术应在强调肿瘤完整切除或根治性切除的同时,注重术后生活质量。关于肺癌有限手术的随机对照试验数量很少。因此,目前对于I期NSCLC的楔形切除术和肺段切除术以及I期肺癌的胸腔镜肺叶切除术等此类手术,一般不被视为标准手术的替代治疗方法。本文主要基于近期文献以及我们在东北大学发育、衰老和癌症研究所的经验所获得的结果,对肺癌有限手术的现状进行综述。