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非小细胞支气管癌支气管成形切除术后的发病率及长期生存率

[Morbidity and long-term survival after bronchoplastic resection of non-small-cell bronchial carcinoma].

作者信息

Müller C, Schinkel C, Hoffmann H, Dienemann H

机构信息

Chirurgische Klinik und Poliklinik, Ludwig-Maximilians-Universität München, Klinikum Grosshadern.

出版信息

Chirurg. 1995 Apr;66(4):308-12; discussion 312.

PMID:7634940
Abstract

During the past 12 years, among 1384 operations for NSCLC, 96 (6.9%) bronchoplastic resections were performed. There were 68 lobectomies, 19 bilobectomies and 9 pneumonectomies done by means of 66 sleeve resections, 28 wedge resections and 2 resections of the tracheal bifurcation. Atelectasis and anastomotic dehiscence were observed in 5 and 4%, respectively. A local complete resection was achieved in 81%. The 30-day mortality was 4%. The results show, that bronchoplastic procedures represent a safe therapeutic option in the operative treatment of centrally located NSCLC.

摘要

在过去12年中,1384例非小细胞肺癌手术中,进行了96例(6.9%)支气管成形切除术。通过66例袖状切除术、28例楔形切除术和2例气管分叉切除术,完成了68例肺叶切除术、19例双肺叶切除术和9例全肺切除术。肺不张和吻合口裂开的发生率分别为5%和4%。81%的患者实现了局部完全切除。30天死亡率为4%。结果表明,支气管成形手术是治疗中央型非小细胞肺癌的一种安全的治疗选择。

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