Geroulanos S, Bronz G, Hodel T, Schönbeck M, Senning A
Helv Chir Acta. 1980 Jun;47(1-2):61-5.
Between 1968 and 1978 82 radical pneumonectomies were performed in our clinic because of a bronchial epidermoid carcinoma. In 49 patients the operation was performed at least 5 years ago (December 31, 1973). 23 patients had a radical pneumonectomy with intrapericardial ligation of the vessels, atriumwall resection or pericardial resection (group A). In addition 13 patients had a dissection of the mediastinal lymphnodes (group B). In the remaining patients (n = 13) parts of the thoracic wall had to be removed (group C). The postoperative lethality (30 days) is 17.6% in group A, 38.5% in group B (2 patients died because of hematogenous metastases, 2 of pulmonary embolism and 1 of generalized pneumonia) and 10% in group C. The 5-year survival is 13% for group A, 8% for group B and 10% for group C.
1968年至1978年间，因支气管表皮样癌，我院共实施了82例根治性肺切除术。其中49例患者的手术至少在5年前（1973年12月31日）就已完成。23例患者接受了根治性肺切除术，术中对血管进行心包内结扎、切除心房壁或心包（A组）。另外13例患者进行了纵隔淋巴结清扫（B组）。其余患者（n = 13）则需切除部分胸壁（C组）。A组术后30天死亡率为17.6%，B组为38.5%（2例因血行转移死亡，2例因肺栓塞死亡，1例因全身性肺炎死亡），C组为10%。A组5年生存率为13%，B组为8%，C组为10%。
