肺切除术后患者的肺切除术

Lung Resection in the Postpneumonectomy Patient.

作者信息

Asai Megumi, Scott Walter J

机构信息

Department of Thoracic Surgery, Abington Hospital-Jefferson Health, Price Medical Office Building, 1245 Highland Avenue, Suite 401, Abington, PA 19001, USA.

出版信息

Thorac Surg Clin. 2018 Feb;28(1):19-25. doi: 10.1016/j.thorsurg.2017.08.004.

DOI:10.1016/j.thorsurg.2017.08.004

PMID:29150034

Abstract

Pulmonary resection after pneumonectomy is a reasonable option in selected patients. Wedge resection for single peripheral metachronous disease has the best outcome with 5-year survival as high as 63%. Current and predicted postoperative cardiopulmonary reserve should be evaluated carefully. Stereotactic body radiotherapy is a promising alternative for inoperable patients.

摘要

肺切除术后行肺叶切除术对特定患者是一种合理的选择。对于单发外周异时性病变行楔形切除术效果最佳，5年生存率高达63%。应仔细评估当前和预测的术后心肺储备功能。立体定向体部放疗对无法手术的患者是一种有前景的替代治疗方法。