Shao Feng, Yang Rusong, Xu Dongsheng, Zou Wei, Ma Guodong, Cao Hui, Pan Yanqing
Department of Thoracic Surgery, Nanjing Chest Hospital, Nanjing 210029, China.
Zhongguo Fei Ai Za Zhi. 2010 Nov;13(11):1056-8. doi: 10.3779/j.issn.1009-3419.2010.11.11.
Surgery is the best treatment for early and middle stage non-small cell lung cancer. The aim of this study is to summarize the experience of bronchial sleeve mortality lobectomy and carinal resection in the treatment of 92 patients with central lung cancer from January, 1996 to May, 2010.
A total of 92 patients with central lung cancer underwent pulmonary resection. Carinal resection and reconstruction were performed in 14 patients, bronchial sleeve resection in 70 patients, and bronchial sleeve combined with pulmonary artery sleeve lobectomy in 8 patients.
There was no operative mortality. The average operation time was 2 hours and 43 minutes. Postoperative complications such as pulmonary atelectasis occurred in 6.94% (7/92) of total group, and hoarseness in 4.35% (4/92). The 1, 3 and 5 year survival rates were 80.7%, 59.6% and 31.5%.
Bronchial sleeve lobectomy and double sleeve lobectomy are capable of excising pulmonary tumor as much as possible while remaining healthy lung tissues. Carinal resection and reconstruction is helpful to extend the surgical indication, and increase the chance of successful resection.
手术是治疗早中期非小细胞肺癌的最佳方法。本研究旨在总结1996年1月至2010年5月期间92例中心型肺癌患者行支气管袖式肺叶切除术及隆突切除的治疗经验。
92例中心型肺癌患者接受了肺切除术。14例行隆突切除重建，70例行支气管袖式切除，8例行支气管袖式联合肺动脉袖式肺叶切除。
无手术死亡。平均手术时间为2小时43分钟。全组术后肺部不张等并发症发生率为6.94%（7/92），声音嘶哑发生率为4.35%（4/92）。1年、3年和5年生存率分别为80.7%、59.6%和31.5%。
支气管袖式肺叶切除术和双袖式肺叶切除术能够在保留健康肺组织的同时尽可能多地切除肺部肿瘤。隆突切除重建有助于扩大手术适应证，增加成功切除的机会。
