Becker H P, Radomsky J, Hartel W
Chirurgische Abteilung, Bundeswehrkrankenhauses Ulm.
Pneumologie. 1990 Sep;44(9):1106-9.
Bronchoscopic laser application and radiotherapy are very effective in treating the recurrence of bronchogenic carcinoma. Reoperation is rarely possible. During the period from January 1981 to June 1989, 242 patients underwent lung resection at the Bundeswehrhospital Ulm because of malignant airway disease. In ten of these patients reoperation was performed in case of tumour recurrence. The median survival time was 17 months (2 to 60 months). Comparing the literature with our own experience we conclude that operative treatment of bronchogenic recurrences is possible in few selected cases. The indication for reoperation depends on the stage of the primary tumour, the spread of the recurrence and the physiological status of the patient.
支气管镜激光治疗和放射治疗在治疗支气管源性癌复发方面非常有效。再次手术很少可行。在1981年1月至1989年6月期间,242例患者因恶性气道疾病在乌尔姆联邦国防军医院接受了肺切除术。其中10例患者在肿瘤复发时进行了再次手术。中位生存时间为17个月(2至60个月)。将文献与我们自己的经验进行比较后,我们得出结论,在少数特定病例中可以对支气管源性复发进行手术治疗。再次手术的指征取决于原发肿瘤的分期、复发的扩散情况以及患者的生理状态。