Uramoto Hidetaka
Division of Thoracic Surgery, Saitama Cancer Center, Kita-adachi-gun, Saitama, Japan.
Ann Thorac Cardiovasc Surg. 2016;22(2):65-8. doi: 10.5761/atcs.ra.16-00019. Epub 2016 Mar 4.
Salvage primary tumor resection is sometimes considered for isolated local failures after definitive chemoradiation, urgent matters, such as hemoptysis (palliative intent), and in cases judged to be contraindicated for chemotherapy or definite radiation due to severe comorbidities, despite an initial clinical diagnosis of stage III or IV disease. However, salvage surgery is generally considered to be technically more difficult, with a potentially higher morbidity. This review discusses the current topics on salvage thoracic surgery such as the definition of salvage surgery and its outcome, and future perspectives.
对于在确定性放化疗后出现孤立局部失败的情况、咯血（姑息性目的）等紧急情况以及因严重合并症而被判定为化疗或确定性放疗禁忌的病例，尽管初始临床诊断为III期或IV期疾病，有时也会考虑进行挽救性原发性肿瘤切除术。然而，挽救性手术通常被认为在技术上更具难度，发病率可能更高。本综述讨论了挽救性胸外科手术的当前主题，如挽救性手术的定义及其结果，以及未来展望。
