[支气管癌手术结果]

[Results in surgery of bronchus carcinoma].

作者信息

Rotzer A, Nagel W, Pommer S, Sege D

机构信息

Klinik für Chirurgie, Thorax- und Gefässchirurgie, Kantonsspital St. Gallen.

出版信息

Schweiz Med Wochenschr. 1994 Jun 4;124(22):936-9.

PMID:8029673

Abstract

During a 6-year period from 1986 to 1991, 119 patients with lung cancer underwent thoracotomy. 112 underwent surgical resection with lymphadenectomy. The mean age of the 97 male patients was 62.7 years, and of the 15 female patients was 62.7 years, and of the 15 female patients 57.1 years. 54 patients were in stage I, 23 stage II, 21 stage IIIa, 8 stage IIIb and 6 stage IV. Pneumonectomy was performed in 20 cases, bilobectomy in 2, lobectomy in 81, segmentectomy in 3 and sleeve lobectomy in 6. Perioperative death occurred in 2.7% of all patients, 5% of patients who underwent pneumonectomy and 2.2% of patients who underwent lobectomy. Serious complications occurred in 19% of all thoracotomy patients. The re-thoracotomy rate was 6% and mortality 0.8%. The cumulative 5-year survival rate in all 112 patients with surgical resection was 54.6%, and for the 54 patients with radical resection 60.3%.

摘要

在1986年至1991年的6年期间，119例肺癌患者接受了开胸手术。112例行手术切除并进行了淋巴结清扫术。97例男性患者的平均年龄为62.7岁，15例女性患者的平均年龄为57.1岁。54例患者为Ⅰ期，23例为Ⅱ期，21例为Ⅲa期，8例为Ⅲb期，6例为Ⅳ期。20例行全肺切除术，2例行双叶切除术，81例行肺叶切除术，3例行肺段切除术，6例行袖式肺叶切除术。围手术期死亡率在所有患者中为2.7%，在接受全肺切除术的患者中为5%，在接受肺叶切除术的患者中为2.2%。严重并发症发生在所有开胸手术患者中的比例为19%。再次开胸率为6%，死亡率为0.8%。所有112例接受手术切除患者的累积5年生存率为54.6%，54例接受根治性切除患者的累积5年生存率为60.3%。