成年患者肺转移瘤的外科治疗（作者译）

[Surgical treatment of pulmonary metastases in adult patients (author's transl)].

作者信息

Le Chevalier T, Rouësse J, Lemoine G, Baldeyrou P, Pejovic M H, Arriagada R

出版信息

Nouv Presse Med. 1982 Mar 20;11(13):995-7.

Abstract

During the period 1968-79, a total of 90 thoracotomies for lung metastases was performed in 76 adult patients (42 men and 34 women, aged from 16 to 72 years) treated at the Gustave Roussy Institute, Paris. Forty-three had carcinoma, 29 had sarcoma and 4 had melanoma. Thoracotomy was performed once in 64 patients, twice in 10 patients and 3 times in 2 patients. Complete resection could be performed in 88%. The operative mortality rate was 1.1%. Four benign lesions were encountered. The survival rate was 56% at 2 years and 43% at 3 years. Several prognostic factors were identified. The indications for pulmonary metastasectomy within the overall strategy of metastatic cancer treatment are discussed.

摘要

1968年至1979年期间，巴黎古斯塔夫·鲁西研究所对76例成年患者（42名男性和34名女性，年龄在16至72岁之间）进行了总计90次肺转移瘤开胸手术。其中43例为癌，29例为肉瘤，4例为黑色素瘤。64例患者接受了一次开胸手术，10例患者接受了两次开胸手术，2例患者接受了三次开胸手术。88%的患者能够进行完整切除。手术死亡率为1.1%。发现了4个良性病变。2年生存率为56%，3年生存率为43%。确定了几个预后因素。本文讨论了在转移性癌症治疗的总体策略中肺转移瘤切除术的适应症。