Pirogov A I, Vagner R I, Matytsin A N
Vestn Khir Im I I Grek. 1978 Aug;121(8):11-4.
More than 20 years' experience with surgical exploration in cancer of the lung is generalized in this article. The use of prescalene biopsy allowed to find out metastases in 130 out of 308 patients (42.2%), mediastinoscopy helped to refine the degree of the propagation of the process in 36.2%, and parasternal mediastinotomy--in 49.5%. Due to laparoscopy and laparotomy metastases in the abdominal organs (liver, adrenal glands, retroperitoneal nodes) were found in 22 out of 162 patients. The diagnostic thoracotomy carried out upon 109 patients revealed tumors of the lungs in 50 patients, in 47 out of them it was an early stage of primary cancer.
本文总结了20多年来肺癌手术探查的经验。使用前斜角肌活检,在308例患者中有130例(42.2%)发现转移;纵隔镜检查有助于明确36.2%患者的病变扩散程度;胸骨旁纵隔切开术则为49.5%。通过腹腔镜检查和剖腹手术,在162例患者中有22例发现腹部器官(肝脏、肾上腺、腹膜后淋巴结)转移。对109例患者进行的诊断性开胸手术显示,50例患者患有肺部肿瘤,其中47例处于原发性癌症的早期阶段。