Beltrami V, Mascitelli E, Basile M, Taraborrelli M
Istituto di Clinica Chirurgica Generale, Università di Chieti.
Ann Ital Chir. 1990 Jan-Feb;61(1):39-42; discussion 42-3.
Over five hundred lung resections were considered, out of a series of 1570 cases of lung cancer. Histology of resected patients resulted squamous (348), adenocarcinoma (107), large cells (21) and small cells carcinoma (37). According to Mountain staging, 41% of patients were related to stage Ist, 12% to the IInd, 40.9% to the IIInd A: in such a group, a special class T3N0M0 was considered, due to the better follow-up observed in such cases. Lobectomies and minor resections were performed in 321 cases, pneumonectomies in 192. An analysis was done of differences in Histology, staging, early mortality, complications and late results after pneumonectomy which was traditional in 117 patients and required an intrapericardial section of great vessels in 68 cases: 16 patients had some pericardial resection, specific ECG disturbances, early mortality and recurrence within five years proved to be higher in the patients who had some pericardial operation: also as far as no connection was recognized with histology, the responsibility of such results can be attributed to the stage, that in those patients required a more aggressive operation.
在1570例肺癌病例中，有500多例接受了肺切除术。切除患者的组织学类型包括鳞状细胞癌（348例）、腺癌（107例）、大细胞癌（21例）和小细胞癌（37例）。根据Mountain分期，41%的患者为I期，12%为II期，40.9%为IIIA期：在该组中，由于此类病例观察到更好的随访效果，因此考虑了一个特殊的T3N0M0类别。321例行肺叶切除术和小范围切除术，192例行全肺切除术。对全肺切除术后的组织学类型、分期、早期死亡率、并发症和远期结果的差异进行了分析，117例采用传统全肺切除术，68例需要在心包内切断大血管：16例患者进行了部分心包切除术，有部分心包手术的患者5年内特定心电图异常、早期死亡率和复发率较高：尽管未发现与组织学类型有关，但这些结果的原因可归因于分期，因为这些患者需要更积极的手术。
