Cennamo O, Vigada G, Audino B, Novello C
Minerva Med. 1981 Jun 23;72(25):1643-5.
A series of 19 upper right lobectomies with resection and anastomosis of the principal bronchus carried out since 1975 at the 2nd Surgery Division, S. Luigi Gonzaga Hospital is described. An account is given of the carcinogenic risk, the endoscopic aspects, and the intraoperative picture in the various cases, and the long-term survivals, compatible with the time when the operation was performed. A brief description is also given of the technique employed, namely Sleeve Resection instead of the usual cuneiform approach. The reasons for this choice are explained. Lastly, from what is indicated it appears that right upper lobectomy with resection and anastomosis of the main bronchus is a very efficacious and very probably radical method in any cases where the neoplastic site should make right pneumonectomy necessary, but this is barred on the patient's functional status.
本文描述了自1975年以来，在圣路易吉·贡扎加医院第二外科进行的一系列19例右上叶切除术，包括主支气管的切除与吻合。文中阐述了各种病例中的致癌风险、内镜检查情况及术中表现，以及与手术时间相符的长期生存率。还简要介绍了所采用的技术，即袖状切除术而非常规的楔形切除术，并解释了做出这一选择的原因。最后，从所提供的信息来看，对于因肿瘤位置而有必要进行右全肺切除术，但因患者功能状况而无法实施的任何病例，主支气管切除与吻合的右上叶切除术是一种非常有效且极有可能根治的方法。
