Wilde J
Z Erkr Atmungsorgane. 1977 Mar;147(3):246-57.
There will be analyzed the postoperative results in 1351 resected patients with bronchial carcinoma from 1957 to 1975 with special reference to the problem of postoperative complications.1. The rates of complications and lethality have been dropped remarkably during the last years. The frequency of complications is now 11.9% and the lethality 4.1%. The mean value of all patients: 19.2% complications; 6.2% lethality. 2. On the top of all complications there are the empyemas, embolisms, haemorrhages-also those of the gastrointestinal tract-and the insufficiency of the cardiorespiratory system, which has a lethality of about 50%. 3. Age, lung-function and the extent of the resection are influencing the complication rate. 4. Excluding wound healing disturbances central tumors show twice as much complications (20%) as peripheral tumors (10%). But wound healing disturbances have the highest rate in intermediate tumors (9.9%), in contrast to the central tumors (3.9%) and peripheral neoplasms (6.2%). 5. The postoperative lethality has a direct and remarkable effect on to the 5 year-healing results. 6. In view of the therapy of the empyemas the plastic surgical methods should be reduced in favour to new standards of conservative therapy, which have to be worked out.
将对1957年至1975年间1351例接受支气管癌切除术患者的术后结果进行分析，特别关注术后并发症问题。1. 近年来并发症发生率和致死率显著下降。目前并发症发生率为11.9%，致死率为4.1%。所有患者的平均值：并发症发生率为19.2%；致死率为6.2%。2. 所有并发症中最常见的是脓胸、栓塞、出血（包括胃肠道出血）以及心肺系统功能不全，其致死率约为50%。3. 年龄、肺功能和切除范围影响并发症发生率。4. 排除伤口愈合障碍，中央型肿瘤的并发症发生率（20%）是周围型肿瘤（10%）的两倍。但伤口愈合障碍在中间型肿瘤中发生率最高（9.9%），与中央型肿瘤（3.9%）和周围型肿瘤（6.2%）形成对比。5. 术后致死率对5年治愈结果有直接且显著的影响。6. 鉴于脓胸的治疗，应减少整形手术方法，转而采用有待制定的新保守治疗标准。
