Havlícek K, Siller J
Centrální chirurgické ambulance a operacní sály nemocnice, Pardubice.
Rozhl Chir. 1992 Oct;71(10):523-9.
Evaluation of results following lung surgery, with a total of 303 pulmonary resections performed at the Department of Surgery in Pardubice Municipal Hospital over the years 1981-1986, made the authors review the patients' overall status after pneumonectomy. Special attention was given to the causes of death, differences in survival rates after left and right pneumonectomy, the relationship between survival rates and preoperative values of spirometry, and the quality of life after surgery. The causes of death within one moth of surgery were identical with known complications. The other patients operated on were dying gradually of recurrence of the malignant process. The five-year survival rate was 31% of all patients undergoing surgery. Differences in survival rates following left and right pneumonectomy were not related to the site of the procedure but to the stage of the disease, evaluated using the international staging system. Preoperative values of spirometry do not provide a clue for survival rates. The quality of life after pneumonectomy is satisfactory, changing only with recurrence of the process. Pneumonectomy is fully justified in the treatment of lung neoplasms and other lung diseases.
对肺部手术结果的评估，1981年至1986年期间在帕尔杜比采市立医院外科共进行了303例肺切除术，促使作者回顾了肺切除术后患者的总体状况。特别关注了死亡原因、左右肺切除术后生存率的差异、生存率与术前肺活量测定值之间的关系以及术后生活质量。术后一个月内的死亡原因与已知并发症相同。其他接受手术的患者则因恶性肿瘤复发而逐渐死亡。所有接受手术患者的五年生存率为31%。左右肺切除术后生存率的差异与手术部位无关，而与使用国际分期系统评估的疾病阶段有关。术前肺活量测定值无法为生存率提供线索。肺切除术后的生活质量令人满意，仅随病情复发而改变。肺切除术在治疗肺部肿瘤和其他肺部疾病方面完全合理。
