Murasugi M, Adachi T, Ikeda T, Sakuraba M, Onuki T
Department of Surgery I, Tokyo Women's Medical University School of Medicine, Tokyo, Japan.
Kyobu Geka. 2003 Jan;56(1):19-22.
We report the use of video-assisted thoracic surgery (VATS) as a treatment or pulmonary metastases. Between July 1994 and March 2002, 75 patients were treated for metastatic lung tumor by VATS. These patients included 45 males and 30 females with an average age of 60.6 years. Their primary diseases were Colon cancer (38), renal cell carcinoma (12), breast cancer (6), seminoma (3), thyroid carcinoma (3), parotid cancer (2), pharyngeal cancer (2) and the others (9). Tumor size ranged from 6 to 62 mm in diameter. A preoperative high resolution spiral computed tomography (CT) scan was used to locate the nodule in all patients. Ten recurrence cases were performed re-resection by VATS approach with an average period was 22 month. We conclude that VATS is a good candidate for the resection of lung metastases in the selected cases.
我们报告了采用电视辅助胸腔镜手术（VATS）治疗肺转移瘤的情况。在1994年7月至2002年3月期间，75例患者接受了VATS治疗转移性肺肿瘤。这些患者包括45名男性和30名女性，平均年龄为60.6岁。他们的原发疾病为结肠癌（38例）、肾细胞癌（12例）、乳腺癌（6例）、精原细胞瘤（3例）、甲状腺癌（3例）、腮腺癌（2例）、咽癌（2例）以及其他（9例）。肿瘤直径范围为6至62毫米。所有患者术前均采用高分辨率螺旋计算机断层扫描（CT）来定位结节。10例复发患者采用VATS方法再次切除，平均间隔时间为22个月。我们得出结论，对于选定病例，VATS是切除肺转移瘤的良好选择。
