Le Roux B T
Thorax. 1972 Jan;27(1):70-4. doi: 10.1136/thx.27.1.70.
Of 4,000 patients with bronchial carcinoma, a small peripheral tumour in 17 was managed by segmental resection because the lesion palpated at thoracotomy was thought to be tuberculous, because the segment in which the tumour lay was separated from adjacent lung by an anatomically complete fissure, or to avoid unnecessary limitation of an already diminished respiratory reserve. One patient died as a direct result of operation; eight died from metastases or recurrence of tumour one to seven years after operation; three died from non-metastatic causes; and five are alive five to eight years after operation. From this small selected group of patients the results of management of bronchial carcinoma by segmental resection seem no worse than after more extensive resections for small tumours.
在4000例支气管癌患者中，17例小的周围型肿瘤采用了肺段切除术，原因是开胸时触诊发现的病变被认为是结核性的，肿瘤所在的肺段被解剖学上完整的裂隙与相邻肺组织分隔开，或者是为了避免对已经减少的呼吸储备造成不必要的限制。1例患者直接死于手术；8例在术后1至7年死于转移或肿瘤复发；3例死于非转移性原因；5例术后5至8年仍存活。从这一小部分经过挑选的患者来看，肺段切除术治疗支气管癌的结果似乎并不比针对小肿瘤进行更广泛切除术后的结果差。
