Van Den Bosch J M, Gelissen H J, Wagenaar S S
J Thorac Cardiovasc Surg. 1983 May;85(5):733-7.
Of 2,540 patients with bronchial carcinoma, 1,223 (48.1%) were judged primarily to have inoperable disease. Of the 1,317 (51.9%) patients who seemed operable, 150 (11.4%) proved to have inoperable lesions at thoracotomy. The resectability rate was 45.9%. The difference between the clinical and surgical staging, i.e., the ultimate reason for inoperability, had various causes: inadequate assessment of the available radiologic data, inadequate performance of mediastinoscopy, and pleural or thoracic wall involvement without clinical suspicion preoperatively. Exploratory thoracotomy cannot always be avoided. However, it seems important that physicians check their results with exploratory thoracotomy to improve the quality of the diagnostic procedures in the preoperative work-up.
在2540例支气管癌患者中，1223例（48.1%）初诊为不可手术切除的疾病。在1317例（51.9%）看似可手术的患者中，150例（11.4%）在开胸手术时被证明有不可切除的病灶。切除率为45.9%。临床分期与手术分期之间的差异，即不可手术的最终原因，有多种原因：对现有放射学数据评估不足、纵隔镜检查操作不当，以及术前无临床怀疑的胸膜或胸壁受累。 exploratory thoracotomy（此处可能有误，推测为exploratory thoracotomy，即 exploratory thoracotomy为探查性开胸手术）并不总是可以避免的。然而，医生通过探查性开胸手术来检查他们的结果，以提高术前检查中诊断程序的质量，这似乎很重要。
