Shields T W
Clin Chest Med. 1982 May;3(2):369-87.
Surgical resection in patients with carcinoma of the lung remains the one therapeutic modality that offers the greatest potential for long-term survival. However, it is apparent that the surgical treatment of carcinoma of the lung must be applied selectively. The selection of the appropriate patients is determined by the extent of the disease process, the cell type of the tumor, and the physical status of the patient. The operative procedure chosen in a given patient may be either conservative or extended in nature as deemed necessary to eradicate the local disease process. The morbidity and mortality must be commensurate with the potential salvage that may be expected. The latter is primarily determined by the extent of the disease process at the time of operation.
对于肺癌患者而言，手术切除仍是最具长期生存潜力的治疗方式。然而，显然肺癌的外科治疗必须有选择性地应用。合适患者的选择取决于疾病进程的范围、肿瘤的细胞类型以及患者的身体状况。在特定患者中选择的手术方式，根据根除局部疾病进程的需要，本质上可能是保守性的或扩展性的。发病率和死亡率必须与预期可能挽救的情况相称。后者主要由手术时疾病进程的范围决定。
