Tanimura S, Sakaguchi K, Tomoyasu H, Banba J, Masaki M, Matushita H
Department of Thoracic Surgery, Toranomon Hospital, Tokyo, Japan.
Kyobu Geka. 1995 Jan;48(1):33-7.
After a primary operation for bronchogenic carcinoma, eight out of 253 patients (3.2%) underwent reoperation for local recurrence or intrathoracic metastasis. The histology was well or moderately differentiated adenocarcinoma in all cases. The average interval between the first and second operation was 34 months (range: six to 63 months). There were three local recurrences, two lung metastases and one mediastinal lymph node metastasis (#3a) ipsilaterally two lung metastases contralaterally. Completion pneumonectomy was underwent in one, wedge or segmental resection in five and excision of lymph node in one case after an initial ipsilateral lobectomy. Two patients underwent contralateral wedge or segmental resection after initial lobectomy. Four of eight patients died of brain, liver, or bone metastases after reoperation, the time of survival averaging 63 months. Two patients died of pneumonia, the time survival averaging 92 months. Two patients are still alive, one in 52 months and another in 20 months after reoperation.
在接受原发性支气管癌手术后，253例患者中有8例（3.2%）因局部复发或胸内转移而接受再次手术。所有病例的组织学类型均为高分化或中分化腺癌。首次手术与第二次手术之间的平均间隔时间为34个月（范围：6至63个月）。有3例局部复发，2例肺转移，1例纵隔淋巴结转移（#3a），其中2例肺转移为同侧，2例为对侧。1例患者在初次同侧肺叶切除术后接受了全肺切除术，5例接受了楔形或节段性切除，1例进行了淋巴结切除。2例患者在初次肺叶切除术后接受了对侧楔形或节段性切除。8例患者中有4例在再次手术后死于脑、肝或骨转移，平均生存时间为63个月。2例患者死于肺炎，平均生存时间为92个月。2例患者仍存活，1例在再次手术后52个月，另1例在20个月。
