Fukuse Tatsuo, Ogawa Eiji, Chen Fengshi, Sakai Hiroaki, Wada Hiromi
Department of Thoracic Surgery, Faculty of Medicine, Kyoto University, Kyoto, Japan.
Ann Thorac Surg. 2006 Oct;82(4):1506-8. doi: 10.1016/j.athoracsur.2005.12.066.
A 72-year-old man who had been diagnosed with second recurrent lung cancer was referred for consideration of a surgical resection. He had undergone a right upper lobectomy with bronchoplasty for the primary lung cancer and stereotactic radiation therapy for the first recurrent tumor. Owing to the comorbid diseases, video-assisted wedge resection and radiofrequency ablation were performed for the second recurrent tumor. The postoperative course was uneventful and the patient was discharged home without complaints. Eighteen months after surgery, he is alive without recurrence. These procedures are minimally invasive and may decrease the local recurrence of lung cancer in properly selected patients.
一名72岁的男性被诊断为第二次复发性肺癌，前来咨询手术切除事宜。他曾因原发性肺癌接受了右上叶切除术及支气管成形术，并因首次复发性肿瘤接受了立体定向放射治疗。由于存在合并症，对第二次复发性肿瘤进行了电视辅助楔形切除术和射频消融术。术后过程顺利，患者出院时无不适主诉。手术后18个月，他仍存活且未复发。这些手术具有微创性，在适当选择的患者中可能会降低肺癌的局部复发率。
