Rendina Erino A, Venuta Federico, de Giacomo Tiziano, Rossi Massimo, Coloni G Furio
Department of Thoracic Surgery, II Clinica Chirurgica, University La Sapienza, Rome, Italy.
Surg Clin North Am. 2002 Jun;82(3):589-609, vii. doi: 10.1016/s0039-6109(02)00021-x.
By the end of the 1950s, the principles of tracheobronchial and pulmonary artery (PA) reconstruction had been established, and their successful clinical application had taken place. It was not until very recently, however, that these techniques aroused widespread interest among thoracic surgeons as a means to achieve complete cancer resection while preserving functioning lung parenchyma. At the present time, sleeve resection of the bronchus and/or PA has a definite role in the surgical management of lung cancer. Growing interest in this field is evidenced by an increasing number of technical variations intended to adapt the basic technique to the different anatomical settings. Also pitfalls, complications, and their prevention and treatment are being extensively described. Last but not least, functional and oncological long-term results, comparing favorably with those of more extended resections, are being reported by many groups. This demonstrates that sleeve lobectomy is no longer reserved only for particularly skillful surgeons. Sleeve lobectomy has achieved its rightful position among the techniques commonly used in thoracic surgery after 40 years of improving understanding and alternating enthusiasm and legitimate doubts.
到20世纪50年代末，气管支气管和肺动脉（PA）重建的原则已经确立，并且已经成功应用于临床。然而，直到最近，这些技术才作为一种在保留有功能的肺实质的同时实现完整癌症切除的手段，引起胸外科医生的广泛关注。目前，支气管和/或肺动脉袖状切除术在肺癌的外科治疗中具有明确的作用。越来越多旨在使基本技术适应不同解剖结构的技术变体证明了该领域日益增长的兴趣。此外，陷阱、并发症及其预防和治疗也得到了广泛描述。最后但同样重要的是，许多研究小组报告称，与更广泛切除的结果相比，功能和肿瘤学长期结果良好。这表明袖状肺叶切除术不再仅适用于特别熟练的外科医生。经过40年对其理解的不断提高以及热情与合理怀疑的交替，袖状肺叶切除术在胸外科常用技术中已占据了应有的地位。
