Ishihara T, Kato R, Kobayashi K, Kikuchi K, Kawamura M, Nakayama M, Horinouchi H
Kyobu Geka. 1989 Jul;42(8 Suppl):708-11.
To August, 1988, we performed tracheobronchial reconstruction for 159 patients with malignant tumors. Operative methods in these patients and the operative results studied in the end of March, 1989, was reported. As for adenoid cystic carcinoma, we stressed, by illustrating cases, that postoperative radiation therapy was useful and that it should be given for all patients with this disease. About one half of patients with thyroid carcinoma infiltrating the trachea died of symptoms related with tracheal stenosis. However, tracheobronchial reconstruction improved 10 year survival rate in patients with advanced thyroid carcinoma remarkably, which became close to that in patients with non-infiltrating thyroid carcinoma. As for lung cancer, tracheobronchial reconstruction had good indication for squamous cell carcinoma.
至1988年8月,我们对159例恶性肿瘤患者进行了气管支气管重建术。报告了这些患者的手术方法以及1989年3月底所研究的手术结果。对于腺样囊性癌,我们通过举例强调术后放疗是有效的,且所有患有这种疾病的患者都应接受放疗。约一半气管受侵的甲状腺癌患者死于与气管狭窄相关的症状。然而,气管支气管重建术显著提高了晚期甲状腺癌患者的10年生存率,使其接近非浸润性甲状腺癌患者的生存率。对于肺癌,气管支气管重建术对鳞状细胞癌有良好的适应证。