Vogt-Moykopf I, Pierro G, Pertzborn W
Langenbecks Arch Chir. 1984;364:181-5. doi: 10.1007/BF01823193.
The degree of lung tissue-reducing operative procedures is determined by the functional reserves of the patients. The borderline functional reserves are well defined. The 30 days postoperative lethality may be regarded as the criterion for the immediate stress due to the surgery of the bronchial carcinoma. It amounts for pneumonectomies to 6-7% and for lobectomies to 3-4%. An unsolved problem is bifurcation surgery, which still leads to a lethality of 30%. Simultaneous bilateral resection of lung metastases has to prove its efficacy by long term observation employing an interdisciplinary concept. The operation lethality of the mesothelioma has decreased to 12%, long term observations are still missing.
肺组织减容手术的程度由患者的功能储备决定。临界功能储备已明确界定。术后30天的致死率可被视为支气管癌手术所致即时应激的标准。全肺切除术的致死率为6 - 7%，肺叶切除术的致死率为3 - 4%。一个尚未解决的问题是分叉手术，其致死率仍达30%。同时双侧切除肺转移瘤必须通过采用多学科概念的长期观察来证明其疗效。间皮瘤的手术致死率已降至12%，但仍缺乏长期观察。
