Giller G V, Giller D B, Giller B M
Probl Tuberk. 1995(6):25-7.
Bronchial plastic reconstruction has been performed in 136 patients aged 8-82. Of them 86, 23, 1, 6, 13, 6, 1 had cancer, carcinoid, sarcoma, benign tumor, nonspecific stenosis, post-tuberculous stenosis, traumatic detachment of the main bronchus, respectively. The patients underwent: lobectomy (101 operations), bilobectomy (24 operations), bisegmental bronchial resections (2 operations), isolated bronchial resections (9 operations). An original technique of narrowing of the central stump in circulatory bronchial resections is described. Neither postoperative complications in anastomoses nor lethal outcomes were recorded. In all cases of nontumor stenosis and benign tumors functional benefits were achieved. A 5-year survival of cancer patients reached 66.7%. The procedures and surgical outcomes are discussed.
对136例年龄在8至82岁的患者进行了支气管整形重建手术。其中,86例患有癌症,23例患有类癌,1例患有肉瘤,6例患有良性肿瘤,13例患有非特异性狭窄,6例患有结核后狭窄,1例患有主支气管外伤性离断。患者接受了:肺叶切除术(101例)、双肺叶切除术(24例)、双段支气管切除术(2例)、孤立支气管切除术(9例)。描述了一种在循环支气管切除术中缩小中央残端的原创技术。未记录到吻合口的术后并发症和致命结局。在所有非肿瘤性狭窄和良性肿瘤的病例中均获得了功能改善。癌症患者的5年生存率达到66.7%。对手术过程和手术结果进行了讨论。