Buhr J, Hürtgen M, Heinrichs C M, Weimar B, Morr H, Schwemmle K
Klinik für Allgemein- und Thoraxchirurgie, Justus-Liebig-Universität Giessen.
Chirurg. 1996 Jan;67(1):81-5.
We report about two cases of tumor dissemination after thoracoscopic wedge resection of malignant nodules of the lung. In the first case, a metastasis at the extraction site was observed after thoracoscopic resection of a metastasis of the lung. In the second case we diagnosed a pleural carcinosis after thoracoscopic wedge resection (and additional open lobectomy and lymph node dissection) of a pT2 N0 lung cancer. The patient died 12 months after the operation. The indication for thoracoscopic resection of malignant nodules of the lung should be restricted for peripheral tumors smaller than 2 centimetres.
我们报告了两例肺恶性结节胸腔镜楔形切除术后肿瘤播散的病例。第一例,在胸腔镜切除肺转移瘤后,在切口处观察到转移灶。第二例,在对一例pT2 N0期肺癌进行胸腔镜楔形切除(以及额外的开胸肺叶切除和淋巴结清扫)后,我们诊断为胸膜癌。患者术后12个月死亡。肺恶性结节胸腔镜切除的适应证应仅限于直径小于2厘米的周围型肿瘤。