Vladanov I P, Popesku K F, Eftodiĭ V V
Khirurgiia (Mosk). 1990 Apr(4):70-4.
The authors analyse 62 patients suffering from carcinoma of the colon with metastases in the lungs. Six patients were operated on not only for primary tumor of the colon but also in solitary metastatic affection of the lungs. The interval during which a solitary metastasis in the lung was detected lasted 18.1 months on average. Palliative resection of the colon when distal metastases were found in the lungs was conducted in 21 patients; in 7 of these patients, metastases in the lungs were recognized before the operation while in 2 the diagnosed solitary metastasis was mistaken for carcinoma of the lung and only during operation for ileus was the tumor of the colon discovered. The postoperative mortality was 23.8%, in 17.7%, death was caused by incompetence of anastomosis sutures.
作者分析了62例患有结肠癌且肺部有转移的患者。6例患者不仅接受了结肠癌原发肿瘤的手术,还接受了肺部孤立性转移灶的手术。发现肺部孤立性转移的平均间隔时间为18.1个月。21例患者在发现肺部远端转移时进行了结肠姑息性切除术;其中7例患者在手术前就已发现肺部转移,2例患者被诊断为孤立性转移的病灶被误诊为肺癌,仅在肠梗阻手术时才发现结肠肿瘤。术后死亡率为23.8%,其中17.7%的死亡是由吻合口缝线功能不全导致的。