[气管及隆突切除重建术治疗肺癌]
[Tracheal and carinal resection and reconstruction in the treatment of lung cancer].
作者信息
Chen Xiaofeng, Zhang Peng, Jiang Gening, Ding Jiaan, Tong Wenpu, Jiang Lei, Wang Lu
机构信息
Department of Surgery, Shanghai Pulmonary Hospital, Tongji University, Shanghai 200433, P.R.China.
出版信息
Zhongguo Fei Ai Za Zhi. 2006 Feb 20;9(1):14-7. doi: 10.3779/j.issn.1009-3419.2006.01.04.
BACKGROUND
Tracheal and carinal resection and reconstruction is an important way in treatment of lung cancer invading trachea and carina. The aim of this study is to summarize the method and effect of tracheal and carinal resection and reconstruction in treatment of lung cancer.
METHODS
Seventy-three patients with lung cancer who underwent tracheal and carinal resection and reconstruction were retrospectively analyzed. There were 22 cases for right pneumonectomy and carinal resection, 14 cases for right pneumonectomy and tracheobronchoplastic procedure, 12 cases for right sleeve pneumonectomy, 15 cases for tracheobronchoplastic procedure plus right upper lobectomy, 2 cases for left sleeve pneumonectomy and 8 cases for left pneumonectomy and tracheobronchoplastic procedure.
RESULTS
Four cases received palliative operation. Four patients (5.48%) died in the perioperative period. The 1-, 3-and 5-year survival rate was 75.3%, 63.0% and 23.3% respectively.
CONCLUSIONS
Careful preoperative assessment, skillful operation and appropriate postoperative treatment are helpful to improve the outcome of tracheal and carinal resection and reconstruction for lung cancer.
背景
气管及隆突切除重建术是治疗侵犯气管及隆突的肺癌的重要方法。本研究旨在总结气管及隆突切除重建术治疗肺癌的方法及效果。
方法
回顾性分析73例行气管及隆突切除重建术的肺癌患者。其中右全肺切除及隆突切除22例，右全肺切除及气管支气管成形术14例，右袖状肺叶切除术12例，气管支气管成形术加右上肺叶切除术15例，左袖状肺叶切除术2例，左全肺切除及气管支气管成形术8例。
结果
4例行姑息性手术。4例患者（5.48%）在围手术期死亡。1年、3年和5年生存率分别为75.3%、63.0%和23.3%。
结论
仔细的术前评估、熟练的手术操作及恰当的术后治疗有助于提高肺癌气管及隆突切除重建术的疗效。
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