D'Andrilli Antonio, Venuta Federico, Menna Cecilia, Rendina Erino A
Department of Thoracic Surgery, Sant'Andrea Hospital, University LaSapienza, Via di Grottarossa 1035, 00189 Rome, Italy.
Surg Oncol Clin N Am. 2011 Oct;20(4):733-56. doi: 10.1016/j.soc.2011.07.007.
Infiltration by lung tumor of adjacent anatomic structures including major vessels, main bronchi, and chest wall not only influences the oncologic severity of the disease but also increases the technical complexity of surgery, requiring extended resections and demanding reconstructive procedures. Completeness of resection represents in every case one of the main factors influencing the long-term outcome of patients. Technical and oncologic aspects of extended operations, including resection of Pancoast tumors and chest wall, bronchovascular sleeve resections, and en bloc resections of major thoracic vessels, are reported in this article.
肺肿瘤浸润相邻解剖结构，包括大血管、主支气管和胸壁，不仅会影响疾病的肿瘤学严重程度，还会增加手术的技术复杂性，需要进行扩大切除并要求进行重建手术。切除的完整性在每种情况下都是影响患者长期预后的主要因素之一。本文报道了扩大手术的技术和肿瘤学方面，包括潘科斯特瘤和胸壁切除、支气管血管袖状切除以及主要胸段血管的整块切除。
