Antypas G D, Mikroulis D A, Kantidakis G H, Bathrelou S G
Department of Thoracic Surgery, Metaxa Anticancer Hospital, Pireaus, Greece.
Scand J Thorac Cardiovasc Surg. 1995;29(4):207-10. doi: 10.3109/14017439509107231.
A non-sleeve resection technique was used in 15 patients requiring reconstruction of the main or secondary carina because of malignant invasion. The technique, which can be employed only in cases of partial carina invasion, utilizes healthy bronchial tissue to cover the defect after resection. The operations comprised right pneumonectomy with reconstruction of the main carina (11 cases), left lower lobectomy with reconstruction of the secondary carina (2) and right upper lobectomy (1) and right lower bilobectomy (1), both with reconstruction of the upper lobe carina. There were no intraoperative deaths or major complications, except for one bronchopleural fistula. Six patients died after 20-month to 4-year observation, six are alive (2 with and 4 without malignant disease) after 6 months to 3 years, and three have survived for more than 5 years. These initial results that our "modified sleeve resection technique" is a reliable option when the carina is partially invaded.
对于15例因恶性肿瘤侵犯而需要重建主支气管或叶间嵴的患者，采用了非袖状切除术。该技术仅适用于部分隆突侵犯的病例，切除后利用健康的支气管组织覆盖缺损。手术包括右全肺切除并重建主支气管（11例）、左下叶切除并重建叶间嵴（2例）、右上叶切除（1例）和右下叶双叶切除（1例），均重建上叶支气管。除1例支气管胸膜瘘外，无术中死亡或严重并发症。6例患者在20个月至4年的观察期后死亡，6例在6个月至3年后存活（2例有恶性疾病，4例无恶性疾病），3例存活超过5年。这些初步结果表明，当隆突部分受侵犯时，我们的“改良袖状切除术”是一种可靠的选择。
