Landreneau Rodney J, Schuchert Matthew J
Department of Cardiothoracic Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
J Thorac Dis. 2019 Jan;11(1):308-318. doi: 10.21037/jtd.2018.12.67.
The role of anatomic segmentectomy as an acceptable, lung parenchymal sparing alternative to pulmonary lobectomy for the small peripheral stage I lung cancer is under great scrutiny today. This is not a new consideration, particularly for the patient with impaired cardiopulmonary reserve where preservation of lung function may be a critical issue in deciding on surgical resection for local/regional control of their cancer. In this review, we discuss the oncologic issues along with past and present evidence supporting "anatomic" lung preservational surgery in the management of lung cancer.
对于小的外周I期肺癌，解剖性肺段切除术作为肺叶切除术可接受的、保留肺实质的替代术式，如今正受到密切审视。这并非新的考量，尤其是对于心肺储备功能受损的患者，在决定针对其癌症进行局部/区域控制的手术切除时，保留肺功能可能是一个关键问题。在本综述中，我们讨论了肿瘤学问题以及过去和现在支持在肺癌治疗中进行“解剖性”肺保留手术的证据。
