Zyrianov B N, Siianov V S, Lipatov A M, Bel'tiukov V K, Sergostiants G Z
Khirurgiia (Mosk). 1990 Apr(4):19-23.
The results of segmental pulmonary resections in 146 patients with lung cancer were analysed. The surgical results were found to be related to the extension of the process, histological pattern, the extent of tumor differentiation and mode of postoperative treatment. The best results of segmental resections were seen in patients with differentiated forms of squamous cell and glandular carcinomas of the lung (T1NoMo). All patients of the present group were alive 3 years after resection, but the 5-year survival rate was 83.3%. The postoperative radiotherapy (40-45 Gr.) was performed in 65 patients. The postoperative radiotherapy improved the 5-year survival rates from 17.3% to 55.5%. The indications for segmental resections in lung cancer were defined.
分析了146例肺癌患者肺段切除术的结果。发现手术结果与病变范围、组织学类型、肿瘤分化程度及术后治疗方式有关。肺段切除术的最佳结果见于肺鳞状细胞癌和腺癌分化型(T1NoMo)患者。本组所有患者术后3年存活,但5年生存率为83.3%。65例患者进行了术后放疗(40 - 45戈瑞)。术后放疗使5年生存率从17.3%提高到55.5%。明确了肺癌肺段切除术的适应证。