van Geel A N, Hoekstra H J, van Coevorden F, Meyer S, Bruggink E D, Blankensteijn J D
Dr Daniel den Hoed Cancer Center, Rotterdam, The Netherlands.
Eur J Surg Oncol. 1994 Aug;20(4):436-40.
A series of nine patients who presented with recurrent lung metastases from soft tissue sarcoma after pulmonary surgery were treated with a second or further thoracotomy. There were no postoperative deaths. The median interval between the first and second thoracotomy was 23 months. Four patients underwent three or more operations. Post-thoracotomy survival was 24-209 months after the first thoracotomy. Five patients are alive after repeated thoracotomies more than 10 years after initial treatment of the primary STS. It is concluded that in cases of recurrent lung metastases from STS repeated thoracotomy is the best therapy if all metastases can be removed completely.
一组9例患者在肺手术后出现软组织肉瘤复发性肺转移，接受了二次或更多次开胸手术。术后无死亡病例。首次与二次开胸手术的中位间隔时间为23个月。4例患者接受了3次或更多次手术。开胸手术后的生存时间为首次开胸手术后24 - 209个月。5例患者在原发性软组织肉瘤初始治疗10年多后经多次开胸手术仍存活。结论是，对于软组织肉瘤复发性肺转移病例，如果所有转移灶能够完全切除，重复开胸手术是最佳治疗方法。
