Watanabe Y, Kobayashi H, Murakami S, Sawa S, Shinagawa M, Iwa T
Jpn J Surg. 1986 Jan;16(1):56-61. doi: 10.1007/BF02471071.
In a patient with metachronous multiple primary lung cancer, bilateral lobectomy was performed, using bronchoplastic procedures. This case may be one of very few such cases reported in the literature. A 56-year-old man with squamous cell carcinoma was surgically treated for lung cancer. At the first operation, right upper lobectomy with wedge resection of the right main bronchus was performed, as the tumor occupied the orifice of the right main bronchus. Six months later, re-operation for stricture at the anastomotic line was done because of granulation. By means of sleeve resection of the strictured right main bronchus, the airway was reconstructed. The patient remained well for five years, then a similar cancer at the orifice of the left lower lobe and bulging into the left main bronchus became evident. Left lower sleeve lobectomy was done for the second primary cancer. The postoperative course was uneventful and he is well with no signs of recurrence 6 years and 10 months after the first operation and 19 months after the second sleeve lobectomy.
在一名异时性多原发性肺癌患者中，采用支气管成形术进行了双侧肺叶切除术。该病例可能是文献中报道的极少数此类病例之一。一名56岁的鳞状细胞癌男性接受了肺癌手术治疗。在首次手术中，由于肿瘤占据右主支气管开口，进行了右上叶切除术并楔形切除右主支气管。六个月后，因肉芽组织导致吻合口狭窄而再次手术。通过对狭窄的右主支气管进行袖状切除，重建了气道。患者五年情况良好，随后左肺下叶开口处出现类似癌症并向左主支气管突出。对第二原发性癌症进行了左下袖状肺叶切除术。术后过程顺利，在首次手术后6年10个月以及第二次袖状肺叶切除术后19个月，他情况良好，无复发迹象。
