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70岁以上支气管癌患者的肺切除术(作者译)

[Lung resections in bronchial carcinoma of patients older than 70 years (author's transl)].

作者信息

Becker H, Wacha H, Blum U, Ungeheuer E

出版信息

Langenbecks Arch Chir. 1981;354(4):299-304. doi: 10.1007/BF01271340.

DOI:10.1007/BF01271340
PMID:6273672
Abstract

In a retrospective study (1969--1979) of 530 resections performed because of bronchial carcinoma, there were 70 patients older than 70 years (13.2%). Two-thirds of their resections were carried out on T 1--2 N0M0 and one-third on T 1--2-N1M0. For 22 central and 48 peripheral carcinomas, 25 pneumonectomies, 40 lobectomies, and 5 bilobectomies were performed. The mortality was 14.2% (lung embolism, pneumonia, apoplexia, and one insufficiency of the bronchial resection stump). Postoperative complications were atelectasis (28.5%), pneumonia (4%), lung embolism (6%), and two pleura empyemas. Of the patients operated on from 1976 to 1978, 40% (T1N0M0) and 30% (T2N0M0) and 30% (T2N0M0) are alive after 2.5 years.

摘要

在一项对因支气管癌而进行的530例切除术的回顾性研究(1969 - 1979年)中,有70例患者年龄超过70岁(占13.2%)。他们三分之二的切除术针对T1 - 2N0M0,三分之一针对T1 - 2 - N1M0。对于22例中央型和48例周围型癌,进行了25例全肺切除术、40例肺叶切除术和5例双肺叶切除术。死亡率为14.2%(肺栓塞、肺炎、中风以及一例支气管切除残端功能不全)。术后并发症包括肺不张(28.5%)、肺炎(4%)、肺栓塞(6%)以及两例胸膜积脓。在1976年至1978年接受手术的患者中,2.5年后,40%(T1N0M0)和30%(T2N0M0)存活。

相似文献

1
[Lung resections in bronchial carcinoma of patients older than 70 years (author's transl)].70岁以上支气管癌患者的肺切除术(作者译)
Langenbecks Arch Chir. 1981;354(4):299-304. doi: 10.1007/BF01271340.
2
Sleeve lobectomy: an alternative to pneumonectomy in the treatment of bronchial carcinoma.袖状肺叶切除术:治疗支气管癌时肺切除术的一种替代方法。
Thorac Cardiovasc Surg. 1981 Feb;29(1):41-6. doi: 10.1055/s-2007-1023439.
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Helv Chir Acta. 1980 Jun;47(1-2):41-5.
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[Pro and con: small cell bronchial cancer - surgery or chemotherapy as the primary treatment. Arguments for selective primary resection].[正方与反方:小细胞支气管癌——手术还是化疗作为主要治疗方法。支持选择性原发性切除的论据]
Internist (Berl). 1981 Nov;22(11):656-7.
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Additional pulmonary resections after pneumonectomy: actual long-term survival and functional results.肺切除术后的额外肺切除术:实际长期生存率和功能结果。
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Surgical treatment of non-small cell lung cancer in octogenarians - safety and prognosis.八旬老人非小细胞肺癌的外科治疗——安全性与预后
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[Surgical position and possibilities in bronchial carcinoma].[支气管癌的手术体位及可行性]
Onkologie. 1980 Jun;3(3):112-9. doi: 10.1159/000214778.

本文引用的文献

1
[Errors of indication in thoracic surgery].[胸外科手术中的适应证错误]
Langenbecks Arch Chir. 1970 Dec;327(1):554-8. doi: 10.1007/BF01259089.
2
[Surgical pathophysiology of old age].[老年外科病理生理学]
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[Man in old age: from the viewpoint of the surgeon].[老年男性:外科医生的视角]
Chirurg. 1979 Jul;50(7):449-55.
4
[Pulmonary function and operability].[肺功能与可手术性]
Dtsch Med Wochenschr. 1978 Jan 20;103(3):123-9. doi: 10.1055/s-0028-1104393.