Chen Fengshi, Takahashi Ayuko, Omasa Mitsugu, Neo Masashi, Fujibayashi Shunsuke, Wada Hiromi, Bando Toru
Department of Thoracic Surgery, Kyoto University, 54 Shogoin-Kawahara-cho, Sakyo-ku, Kyoto 606-8507, Japan.
Lung Cancer. 2008 Jul;61(1):137-9. doi: 10.1016/j.lungcan.2007.12.004. Epub 2008 Feb 4.
Introduction of spinal surgery into lung cancer operations has made extensive operations feasible with an acceptable long-term survival. We report our successful experience of en bloc total vertebrectomy for lung cancer invading the spine. A 49-year-old man was found to have squamous cell carcinoma of the posterior apex of the right lung with an invasion of the body of the second and third thoracic vertebra. After induction chemoradiotherapy, we performed en bloc resection through thoracotomy and posterior median approach. Vertebral stabilization was achieved with a rod fixation and a placement of titanium mesh cage packed with autogenous bone chips.
将脊柱手术引入肺癌手术使得广泛切除手术成为可能，并具有可接受的长期生存率。我们报告了我们在肺癌侵犯脊柱时进行整块全椎体切除术的成功经验。一名49岁男性被发现患有右肺后尖部鳞状细胞癌，侵犯了第二和第三胸椎椎体。在诱导放化疗后，我们通过开胸手术和后正中入路进行了整块切除。通过棒状固定和植入填充自体骨屑的钛网笼实现了椎体稳定。
