Motta G, Ratto G B
University of Genoa, School of Medicine, First Department of Semeiotica Chirurgica, Italy.
Acta Chir Belg. 1989 May-Jun;89(3):161-5.
We reviewed our experience with the surgical treatment of lung cancer, in order to investigate if the extent of the pulmonary resection and preoperative respiratory function tests correlate with the frequency of postoperative complications. The records of 292 patients who underwent lobectomy and of 64 who had pneumonectomy were analyzed. Postoperative complications developed in 148 patients. The incidence of bronchopleural fistula and cardiac rhythm disturbances was significantly higher after pneumonectomy than after lobectomy. A significant relationship was found between the preoperative ventilatory function tests and the postoperative frequency of intrapleural air spaces or atelectasis. The 30 day operative mortality was significantly related to the extent of the resection; postoperative deaths due to cardiorespiratory insufficiency were also associated to the severity of the obstructive pulmonary disease.
我们回顾了肺癌手术治疗的经验，以研究肺切除范围和术前呼吸功能测试是否与术后并发症的发生率相关。分析了292例行肺叶切除术患者和64例行全肺切除术患者的记录。148例患者出现术后并发症。全肺切除术后支气管胸膜瘘和心律失常的发生率明显高于肺叶切除术后。术前通气功能测试与术后胸膜腔内气腔或肺不张的发生率之间存在显著关系。30天手术死亡率与切除范围显著相关；因心肺功能不全导致的术后死亡也与阻塞性肺疾病的严重程度有关。
