Windheim K
Thoraxchir Vask Chir. 1978 Aug;26(4):304-5. doi: 10.1055/s-0028-1096643.
Postulating that sufficient radicality in operative treatment of all forms of broncho-pulmonary carcinoma is only guaranteed by lobectomy or pneumonectomy 80% of the patients will be inoperable due to anatomical or functional reasons. From the surgical and technical point of view this number can hardly be changed. However, functional limits could be overcome by the use of segmental or subsegmental methods of resection in adequate cases of tumor localization. 88 patients, who had segmental or subsegmental resection more than five years ago were reinvestigated. Out of these patients, one had died postoperatively, 43% had died of their primary tumor disease and 17% of other diseases. 40% had survived the follow-up period. 60% of our patients with tumor stage T1N0 were still alive after 3.5 years. Considering the lack of alternative treatment limited lung resection can be of real advantage when applied critically.
假定所有形式的支气管肺癌手术治疗的充分根治性仅通过肺叶切除术或全肺切除术来保证，那么80%的患者将因解剖或功能原因无法进行手术。从外科手术技术角度来看，这个数字很难改变。然而，在肿瘤定位合适的病例中，通过采用节段性或亚节段性切除方法，可以克服功能限制。对88例五年多前接受节段性或亚节段性切除的患者进行了再次调查。在这些患者中，有1例术后死亡，43%死于原发性肿瘤疾病，17%死于其他疾病。40%存活至随访期结束。我们肿瘤分期为T1N0的患者中，60%在3.5年后仍然存活。考虑到缺乏替代治疗方法，谨慎应用有限的肺切除术可能具有实际优势。
